重症臀肌挛缩症治疗效果的相关因素分析

Analysis of the relative factors with treatment in severe gluteal muscles contracture

目的认识重症臀肌挛缩症的特殊性和综合治疗的重要性,并分析影响其疗效的相关因素。方法根据自定的臀肌挛缩症的分度方法和重症诊断标准,确诊的318例重症患者采用手术及术后功能锻炼结合物理因子治疗,并随访其疗效。结果本组病例随访3～18个月,有效率100%,治愈率93.8%,并发症少,无复发。结论手术彻底松解挛缩组织、术后结合有效的功能锻炼和物理因子的治疗、综合考虑多种影响因素,可以明显提高重症臀肌挛缩症治疗的有效率和治愈率,减少术后并发症,有利于该类患者康复和恢复对生活的信心。

Objective:To recognize the speciality of severe gluteal muscles contracture, the importance to them with comprehensive treatment, and analyze the relative factors in affection their effects. Method: According to the authors' classification degree of gluteal muscles contracture and the diagnosis criteria of severe cases,the diagnozed 318 cases were applied with operation and function exercise and physical factors therapy post-operatively, and the cases were followed up. Result: The cases were followed up from 3 to 18 months, the good rate was 100%, the cure rate was 93.8%,less complications and low recurrance. Conclusion: To release the pathological tissues with operation, and effect ways of function exercise and physical factors care, and consideration kinds of relative factors can greatly improve the good rate and cure rate of severe gluteal muscles contracture, reduce post-operative complications,and strengthen their recovery and belief of the patients.