摘要
1989年7月～1995年7月手术治疗408例有明确注射史的臀肌挛缩症儿童。除1例外均采用了挛缩带切断术。平均随访2年5个月,手术治愈率为98.1％。手术见臀部肌肉率缩主要为臀大肌、臀中肌,其发生频率分别为87.3％和71.8％。单纯的臀大肌挛缩占28.2％,臀大肌、臀中肌同时挛缩占40.2％,臀大、中、小肌均挛缩占18.9％。文章认为要获得良好地手术效果须切断所有术中能感觉得着的挛缩组织,并立即检查松解效果,术后维持适当地并腿屈髋体位及尽早功能锻炼。文章还对本症的命名提出了看法。
From July 1989 to July 1995,408 children with gluteal muscle contracture had been treated with operation. Everyone' of them had an intragluteal muscular injection history. Transverse of the contracture-band was applied to all cases but one. The patients were followed up with an average period of 2 years and 5 months, 98. 1 % of the cases had obtained correct posture. Through the operative cases we observed that the contracture incidence of the gluteal maximum muscle was 28. 2%,the maximum and middle gluteal muscle contracture was 40. 2% ,the maximum,middle and minor gluteal muscles together was 18. 9% of all the cases. We consider that in order to achieve a satisfactory result all the contracture tissues must be cut off the result must be checked up immediately during the operation,after the operation the limbs were kept together, the hip must be fixed in flexion position,and the exercise begins early. This article also gives an opinion to the name of this disease.
出处
《中国矫形外科杂志》
CAS
CSCD
1997年第6期468-469,共2页
Orthopedic Journal of China
