重症臀肌挛缩症的手术治疗

Operative treatment of severe gluteal muscles contracture

目的：探讨重症臀肌挛缩症的手术方式及并发症的防治。方法：根据刘国辉等制定的臀肌挛缩症的分度方法和重症诊断标准，对确诊的287例重症患者进行手术治疗及结合术后功能锻炼，并随访其疗效。结果：随访11个月～8年，有效率100.0％，治愈率97．5％，并发症少，无复发。结论：手术彻底松解挛缩组织，减少创伤，结合术后有效的功能锻炼，可以明显提高重症臀肌挛缩症疗效，减少并发症的发生。

Objective： To investigate the operative treatment of gluteal muscles contracture, the prevention and the cure of complications. Methods：According to the classification degree of gluteal muscles contracture and the diagnosis criteria of severe cases made by Liu Guohui et al, the diagnosed 287 patients underwent the operation, and the postoperative function exercise. The patients were followed up. Results：The follow up was 4.5 years in average ranged from eleven months to eight years. The effective rate was 100% and the cure rate was 97.5% with less complication and without recurrence. Conclnsions：The operation can greatly improve the curative effect of gluteal muscles contracture and reduce postoperative complications to release the pathological tissues completely with less trauma and perform effective function exercise.