摘要
本文报道了２０例重症臀肌筋膜挛缩症的手术治疗。男１６例，女４例，年龄７～２２岁。均为双侧病变，并有幼年时臀部药物注射史。本文就其发病机制再认识、手术方式及术后处理等进行了讨论。认为重症病例其病变范围广泛，臀大肌、臀中肌、臀小肌甚至髋关节外旋肌群和关节囊均可爱累。强调手术切口优良设计，手术中将挛缩组织及纤维变性条索彻底切除和松解。手术后细致处理与保持拼腿屈髋、屈膝９０°位固定以及早期功能锻炼是术后优良效果的保证。
20 cases of severe contracture of gluteal muscular fascia were studied. There were 16 males
and 4 femals with the range of age 7 to 22 years. A1l patients suffered from the disease with
both sides, and had a history of injection on buttock during childhood. In this pape recognition
about the mechanism of the disease, the surgical methods and postoperative managenent are
discussed. The authors think that pathological change is existed in large area in severe cases
,gluteal maxium,middle,small muscle even abductive-rotative muscle and capsule of hip are
involved.It is emphasized that excellent design for incision, cut down and removing all
contracted tissue and fibrous band completely is essential to the success of operation.
Also,delicated postoperative managment, maintaining flexion of hip and knee in 90 degree,and
functional exercise in the early stage after operation is guarantee for the excellent and good
results.
出处
《中国矫形外科杂志》
CAS
CSCD
1995年第4期240-241,共2页
Orthopedic Journal of China
关键词
臀肌筋膜挛缩症
外科手术
病例报告
Gluteal muscle, Muscular fascia contracture, Operation.
