臀肌筋膜挛缩症手术切口定位分析

Analysis of Incision Localization for Surgical Treatment of Gluteal Muscle Contracture

目的探讨行臀肌挛缩带切断术治疗臀肌筋膜挛缩症的适宜切口定位方法。方法对28例臀肌筋膜挛缩症患者,采用屈髋定位法确定手术切口,即采用经大转子上方垂直挛缩肌的小切口行臀肌挛缩带切除术。结果除1例伤口渗液延迟愈合外,无其他并发症。疗效评价：优21例,良7例,优良率100%。28例均获随访,平均3.4年（2月-4年）,未见复发。结论经大转子上方垂直挛缩肌切口具有定位准确、操作方便、切口小、出血少等优点,值得推广。

Objective To discuss the localization method of operative incision in contracture lysis for treating gluteal muscle contracture （GMC）, Method 28 cases of GMC were underwent contracture band amputation with a mini-incision through greater trochanter above and perpendicular to contracture muscle sulcus, which was localizedby hip-flexing, Results 1 case occurred wound delayed healing because of wound seepage. No other severe complication was observed. The outcome was excellence in 21 cases, and good in 7, the fineness rate was 100%. All cases were followed up for2 months to 4 years （average 3.4 years）, and no recurrence was found, Conclusion The incision mentioned above is deserved to recommendable with advantages as accurate localization, convenient operating, small trauma and less bleeding.