臀肌挛缩症的微创治疗

Microtrauma in the Treatment of Gluteal Muscle Contracture

目的:寻找一种创伤小、恢复快、效果好的臀肌挛缩症(GMC)的治疗方法。方法:根据体征及病理变化,将GMC分为A、B、C三型后,采用特制叶氏剥离刀对20例40侧各型GMC患者进行微创治疗,然后按同一疗效评价标准与大转子后小切口治疗GMC的效果相比较。结果:GMC微创治疗疗效1周评分平均为9分,3周评分为10分,患者4天-6天即可恢复出院;GMC大转子后小切口治疗疗效1周评分平均为6.2分,3周评分为9.6分,患者12天-14天拆线出院。结论:GMC的微创治疗具有创伤小、痛苦少、恢复快、效果好、操作安全可靠、易掌握的特点。

Objective: To find a therapeutic, less traumatic protocol with a quick recovery for gluteal muscle contracture (GMC). Methods: Based on physical sign and pathological change, CMC was divided into A, B, C three types. Twenty patients with 40 sides who were diagnosed as having GMC were treated with Ye' s detacher with microtrauma. The therapeutic effectiveness comparison was made between microtrauma treatment and the little wound treatment via posterior greater trochanter by the same standard of therapeutic evaluation. Results: The score of therapeutic effectiveness of microtrauma treatment averaged 9 and 10 points at 1 and 3 weeks, respectively. And after four days, the patients left hospital with recovery. The score of therapeutic effectiveness of little wound treatment via posterior greater torchanter averaged 6.1 and 9.6 points at 1 and 3 weeks respectively. And the patients leave hospital after 12 to 14 days. Conclusion: The microtrauma treatment of GMC is a feasible, safe, less traumatic and eutherapeutic protocol with a quick recovery and little pain and easy to manipulate.