臀肌挛缩症体征与解剖及病理改变的关系

Relationship Between the Physical Sign of Gluteal Muscie Contracture and Independently Dissection and

目的:探索臀肌挛缩症(GMC)体征形成的解剖及病理变化基础,从而为选择治疗方法提供依据.方法:分析60例120侧患者臀肌挛缩病变范围对所产生体征的影响,并从解剖擘角度对治疗结果进行因果分析.结果:GMC的各挛缩组织均对大转子运动中的阻力产生决定性影响.根据挛缩痛变范围可分为A、B、C三型7个亚型.结论:GMC体征形成的核心是挛缩组织对大转子外移及旋转前后移运动的阻挡.

Objective: To seek the foundations in Dissection and pathologic change of GMC physical sign formation, and then to supply a basis for the choice of treatment. Methods: The influence of GMC lesion range on the physical sign in 60 case with 120 sides were analyzed. And from the viewpoint of dissection the therapeutic results were analyzed . Results: Each tissue of contracture in GMC exercised a decisive influence on the resistance produced in the movement of greater trochanter. Based on the lesion range of contracture, GMC could be divided into A, B, C three types (seven subgroup). Conclusion: The core of GMC physical sign formation should be that the tissues of contracture obstructed greater trochanter in moving outside and circumvolving fore and back.