臀肌挛缩症手术治疗34例分析

目的：总结各种术式治疗臀肌挛缩症的疗效。方法：1996--2002年共手术治疗臀肌挛缩症患者34例,手术初期沿用小切口、直切口、“S”形大切口,后改做股骨大转子上后方2cm弧形切口。随访时间6个月～2年,对其中随访资料完整的28例进行分析、评定。结果：28例中,疗效优23例,良3例,可2例,手术优良率为92．8％。结论：手术方式影响预后,经临床应用,大转子上后方弧形切口优于小切口、直切口、“S”形大切口,随访结果满意。

Surgical treatment for gluteal muscle contracture:A report of 34 cases

Objective:To sum up the curative effects of gluteal muscle contracture treated by various modes of operation.Methods:From 1996 to 2002,34 cases of gluteal muscle contracture were operated in our hospital.Minor incision,straight incision or "S" major incision were used at the initial stage of operation;later femoral greater trochanter superior posterior 2 cm incision was used.The follow up time ranged from 6 months to 2 years,28 cases with complete follow up data were analysed and assessed.Results:Among the 28 cases,the curative effects of 23 cases were excellent,3 cases were good and 2 cases were not bad.The fine rate of operation was 92.8%.Conclusions:The mode of operation influences prognosis and greater trochanter arc incision is superior to minor incision,straight incision or "S" major incision.The follow up results are satisfactory.