粗隆上微创切口治疗儿童臀肌挛缩体会

目的 总结儿童肌注性臀肌挛缩症采用粗隆上微创切口手术治疗经验和价值.方法 对260例8.0～15.0岁肌注性臀肌挛缩症患儿,行粗隆上微创切口松解手术,并行随访评价.结果 260例切口均一期愈合,经10个月～8年随访,依据夏榕圻疗效评定标准:优172例；良88例.优良率100％.结论 粗隆上微创切口手术松解治疗儿童臀肌挛缩症,具有切口小、无张力、痛苦小、切口愈合快、美观、术后早期下地功能锻炼等诸多优点.

Minimal incision approach above the greater trochanter in the treatment of injection-induced gluteal muscle contracture in children

Objective To summarize the experience of a minimal incision approach above the greater trochanter in the treatment of injection-induced gluteal muscle contracture in children.Methods 260 children with injection-induced gluteal muscle contracture aged from 8 to 13 years were subjected to the minimal incision approach above the greater trochanter to relieve the fibrotic gluteal muscle.Results All children were followed up for 10 months to 8 years.The surgical effectiveness was evaluated with standard of Xia Rong Qi.172 children obtained excellent results,and 88 good.No wound complications occurred in all children.Conclusion The minimal incision approach above the greater trochanter could relieve the fibrotic gluteal muscle adequately and gain good surgical effects with less tissue injury.