摘要
目的 :探讨大龄臀肌筋膜挛缩症的临床特点及手术治疗效果。方法 :回顾性分析 2 3例大龄臀肌筋膜挛缩症手术治疗的临床资料。本组病例男 9例 ,女 14例 ,年龄 15～ 4 3岁 ,病程 10～ 35年。结果 :随访时间 3月～ 3年 ,平均 1年 8个月。手术治疗效果满意 ,髋关节功能恢复正常或接近正常。伴发骨盆倾斜所致下肢假性不等长 9例 (占 39.12 % ) ,术后畸形矫正 ;术前肢体等长 ,术后出现肢体不等长 2例。病变范围均累及臀中肌、臀小肌。结论 :大龄臀肌筋膜挛缩症患者中 ,因骨盆倾斜所致肢体假性不等长表现的相对较多 ,应重视此伴发症的处理。术中注意重点松解臀中肌、臀小肌的挛缩。延误治疗可能会影响骨关节的发育或引起骨关节的继发性病变。
Objective:To analyze the clinical features and surgical treatment of contracture of gluteal muscles and fascia in adolescent and adults.Methods:The clinical data of surgical treatment of 23 cases of contracture of gluteal muscles and fascia in adolescent and adults were analyzed retrospectively.The patients,9 cases were male and 14 female,age ranging from 15 to 43 years old,have suffered from this disease for 10 to 35 years.Results:The follow-up range 3 months to 3 years(average1 year and 8 months).The postoperative results were satisfactory and the function of the hip recovered to normal or nearly normal.Of the 23 cases,9 case showed leg length pseudo-discrepancy caused by pelvic obliquity(39.12%).But onlly tow cases showed the different legs length after the operation.It found that the contracture involved the gluteus medius and minimus.That means,owing to the contraction of these muscles,the pelvis began to be inclined.Conclusion:It indicated that the leg′s length of many adolescents and adults who suffered from the disease would be dissimilated because the pelvis inclined.The contracture of the gluteus medius and minimus should be released completely by surgery.If the patient don′t receive the operation in time,the growth of the bone and joints would be affected and the probability of degenerative joint disease increased.
出处
《实用骨科杂志》
2002年第6期422-423,共2页
Journal of Practical Orthopaedics
关键词
髋挛缩
肢体不等长
外科手术
Hip contracture
leg length discrepancy
Surgical procedures
