带旋髂深血管蒂髂骨膜瓣转移术治疗Perthes病20例的长期观察

Iliac periosteal flap pedicled with deep iliac circumflex vessel transposition for the treatment of Perthes disease

目的探讨Perthes病的显微外科治疗方法。方法对采用带旋髂深血管蒂髂骨膜瓣转移术治疗并获得随访的早期Perthes病20例患儿进行回顾分析。根据手术前后临床症状、关节活动和X线检查进行评价。结果术后经过平均10.5年(6～18年)随访,优良率80%。结论应用显微外科技术,针对早期Perthes病采用带旋髂深血管蒂髂骨膜瓣转移术是治疗Perthes病的有效方法。

Objective To explore the effectiveness of microsurgery for Perthes disease.Methods Iliac periosteal flap pedicled with deep iliac circumflex vessel transposition treatment were performed in 20 children with early Perthes disease.Clinical symptoms,joint activities,and X-ray findings before and after surgery were evaluated.Results All patients were followed up for an avarage period of 10.5 years(range 6～18years).The good excellend rate was 80%. Conclusion Iliac periosteal flap pedicled with deep iliac circumflex vessel transposition is an effective method for the treatment of early Perthes disease.