手术治疗重症臀肌挛缩症的远期疗效观察

目的探讨臀大肌止点上移松解术治疗重症臀肌挛缩症的远期疗效。方法160例重症臀肌挛缩患者分为两组，分别接受传统臀肌松解术及臀肌止点上移松解术，平均随访66．3个月，比较其外展挛缩角度改善情况，并通过自制评分系统对疗效进行评价。结果134例随访资料完整的患者中，接受臀大肌止点上移松解术者其外展挛缩角度改善及疗效评分均优于接受传统臀肌松解术者。结论臀大肌止点上移松解术治疗重症臀肌挛缩症远期疗效满意，优于传统臀肌松解术。

The long time follow-up of the severe gluteal muscle contracture treated with operation

Objective To evaluate the long-time outcomes of gluteal muscle contracture with the procedure of traditional muscle and fascia release combined with rising the gluteus maximus attachments. Methods One hundred and sixty patients were divided into two groups, the one treated with the traditional surgical procedure, the others received the procedure of traditional muscle and fascia release combined with rising the gluteus maximus attachments. At the latest follow-up, the improved abduction contracture of the hip were compared in two groups ;further more one outcome scoring was introduced to evaluate the long-time outcomes. Results At the latest follow-up, the group underwent the traditional muscle and fascia release combined with rising the gluteus maximus attachments procedure had more improved abduction contracture and higher outcome scoring. Conclusion Traditional muscle and fascia release combined with rising the gluteus maximus attachments procedure have a more satisfacted clinical outcome compared with traditional surgical procedure.