摘要
目的探讨并比较两种不同术式治疗臀肌挛缩的疗效。方法治疗臀肌挛缩症３５例，分别采用后外侧入路，切断变性的臀大肌腱膜、肌肉或作臀大肌肌腱“Ｚ”形延长及大粗隆后上方弧形小切口松解臀肌两种不同术式。结果前者创伤大、出血多、卧床时间长、恢复欠满意。后者具有创伤小、出血少、手术时间短、术后恢复快及可早期进行功能锻炼等优点。
Objective To evaluate the effectiveness of two different methods in treating gluteal muscular contracture. Methods 35 cases of gluteal muscular contracture were treated by following methods (1) an incision was served as a posterior lateral approach to the hip, and all tendon and muscle with fiberosis were resected or removed, or a Z plasty on the gluteal muscular tendon and incision of iliotibil tract were performed; (2) a small incision posterior superior to the greater trochanter was carried out to release gluteal muscles. Results The former method manifested more trauma and loss of blood, and dissatisfactory recovery, but the latter demonstrated less trauma, less bleeding, shorter operation time and quick recovery, permitted to exercise at the early stage. Conclusion The latter method deserves recommendation.
出处
《临床骨科杂志》
1998年第2期139-140,共2页
Journal of Clinical Orthopaedics
