臀肌挛缩症的手术治疗及临床疗效

Operative Treatment and Therapeutic Effects of Gluteal Muscle Contracture

目的总结手术治疗臀肌挛缩症的经验，探讨本病分型与手术范围及疗效的关系。方法根据臀肌挛缩症特有的临床表现，分为轻型、中型、重型。根据分型术中分别显露髂胫束、臀大肌、臀中肌、臀小肌至髋关节囊后方。结果160例均手术治疗，随访148例，随访时间6个月～10．5年，平均6．7年，优良率96．6％。结论对臀肌挛缩症强调早诊断，早治疗，根据不同的临床分型，显露相应的手术范围，并实施相应的手术，术后早期锻炼，以获得最佳的治疗效果。

Objective To describe the experience for operative treatment of gluteal muscle contracture （GMC） and to explore the relationship between classification and operative range, therapeutic effects. Methods Accoding to the typical symptoms and clinical signs of GMC, 160 patients were divided into 3 types, e.g. light type, middle type and serious type. On the basis of the different types, iliotibial tract, greatest gluteal muscle, middle and least gluteal muscle and the back capsule of hip joint were exposured and operated respectively. Results 148 cases were followed up from 6 months to 10. 5 years with an average time of 6.7 years. The excellent and good rate was 96.5%. Conclusion GMC should be early diagnosed and treated. According to the different types, the corresponding operative range should be exposured and the appropriate operation should be done. Early exercise after operation can receive better results.