手术治疗儿童臀肌筋膜挛缩症

TREATMENT OF CHILDREN GLUTEOFASCIAL CONTRACTURE SIGN WITH OPERATION METHOD

本文介绍了手术治疗儿童臀肌筋膜挛缩症14例。年龄4～12岁，均有臀肌反复注射药物史，注射药物最多为青霉素，其次为链霉素、庆大霉素等。本文就其手术方式、术后处理及康复进行了研究，认为重症病例病变范围广泛，臀大肌、臀中肌、臀小肌甚至髋关节外旋肌群和关节囊均可受累。强调术中将挛缩组织及纤维变性条索彻底切除和松解。术后细致处理与保持两下肢并拢屈髋、屈膝90°位固定，以及早期主动行功能锻炼是取得优良效果的保证。

The paper is introduced the children gluteofascia contracture sign treated with operation method. There are 14 cases in all and the ages are 4 to 12 Years old. The children all have had repeated gluteus injections. The most-used injection is penicillin, the next is streptomycin. After observing the Symptom of the case,operating method,and after care were taken,The author believed the reasons of the serious case wide and musculus glutaeus maximbls, rnesoglutens musculus glutaeus minimus, even coxa extoror and joint -capsule can be greatly influenced. It attached inportance to the resection and re laxation of the contracture,tela and fibrotic strap during the operation. After the operation,keep the two legs' genuflexion 90° and doing digination to get a better recovevry.