臀肌挛缩症34例的手术治疗

Surgical therapy for gluteal muscles contracture(Reports of 34 cases)

目的回顾分析臀肌挛缩症的手术治疗效果,总结分析影响疗效的因素。方法根据臀肌挛缩症的分度方法,分析自2005年6月至2008年7月收治的臀肌挛缩症患者34例,根据挛缩的严重程度分别采取经皮或小切口挛缩带松解术,术后72 h开始进行功能锻炼,并随访其疗效。结果本组病例随访3～26个月,有效率100%,优良率为94.2%,无手术并发症,无复发。结论臀肌挛缩症宜早诊断、早治疗,根据挛缩的严重程度选择适宜的手术方案个体化治疗,结合术后及时有效的功能锻炼,可以取得良好的治疗效果。

Objective To analyze the therapeutic effect of gluteal muscles contracture and summarize the important factors that affect the therapeutic effect retrospectively.Methods 34 cases of gluteal muscles contracture resorting to us from June to July of 2008 were analyzed.According to the severity of contracture,various procedures including percutaneous section of the contractural fascias or section via mini incision were adopted.Functional exercises were carried on as early as 72 hours after operation.All cases were followed up for the therapeutic effect.Result All the cases were followed up for 3 to 26 months,the effective rate was 100%,and the excellence and good rate was 94.2%.There was no complications or recurrence.Conclusion Early detection and diagnosis,correct surgery selection according to the severity of contracture,and prompt and effective functional postoperative exercises are the keys to improving the curative effect of gluteal muscles contracture.