98例臀肌挛缩症手术方法及效果比较

COMPARISON OF OPERATION MODE AND CLINICAL EFFECT OF DIFFERENT SURGICAL TREATMENTS OF GLUTEUS MUSCLE CONTRACTURE(with 98 cases reports)

目的 探讨一种更适合于治疗臀肌挛缩症的手术方式。方法 对98 例臀肌挛缩症根据功能障碍程度分别选择大粗隆上横切口20例,大粗隆后上方斜弧形切口20 例及髂棘下外侧横切口58 例进行松解,其中直视下松解78例。结果 通过对各组术后并发症的调查,结合87例随访进行分析比较,髂棘下外侧横切口组未见术后出血、感染等并发症,髋关节功能恢复满意;而大粗隆上横切口手术操作安全性低,易过多损伤,术后并发症较多,不利于早期锻炼和功能恢复。结论 髂棘下外侧横切口能满足各种程度的臀肌挛缩松解术,且直视下手术操作安全可靠。

Objective\ To explore a better surgical mode to treat gluteal muscle contracture.Methods In 98 cases,superior cross incision of large tuberosity was performed in 20 cases,posterosuperior curve incision of large tuberosity was performed in 20 cases,and exteroinferior cross incision of iliac spine in the other 58 cases.The patients were observed after operation and followed up.Results The patients who received exteroinferior cross incision of iliac spine recovered soon without bleeding and infection after operation, which indicated the lowest incidental rate of postoperative complication.Conclusion Exteroinferior cross incision of iliac spine is a safe and effective surgical operation to loosen the gluteal muscle contracture.