微创手术治疗臀肌挛缩症临床分析

    Clinical study of micro-traumatic operation for treatment of gluteus contracture

    • 摘要: 目的: 探讨一种微创手术治疗臀肌挛缩症(gluteus contracture,GC)的方法。方法: 根据体征及病理变化,将GC分为A、B、C三型,采用微创剥离刀对60例120侧各型GC患者进行微创手术及康复治疗,然后按同一疗效评价标准与大转子后切口治疗GC的效果相比较。结果: GC微创综合治疗疗效1周评分平均为9.2分,3周评分为10分,术后4~6天即可恢复出院;GC大转子后切口治疗疗效1周评分平均为6分,3周评分为9分,术后12~14天拆线出院。结论: GC的微创综合治疗具有创伤小、痛苦少、恢复快、体征消除彻底、操作安全可靠、易掌握的特点。

       

      Abstract: Objective: To investigate the minimally invasive operation for treatment of gluteus contracture(GC).Methods: Based on physical signs and pathological changes,GC was divided into A,B,C three types.Thirty patients with 60 sides who were diagnosed as GC were treated with the minimally invasive operation and rehabilitation detacher.The therapeutic effectiveness comparison was made between minimally invasive treatment and the little wound treatment via posterior greater trochanter by the same standard of therapeutic evaluation.Results: The score of therapeutic effectiveness of minimally invasive complex treatment averaged 9.2 and 10 points at 1 week and 3 weeks,respectively.And after four postoperative days,the patients left hospital with recovery.The score of therapeutic effectiveness of wound treatment via posterior greater trochanter averaged 6 and 9 points at 1 week and 3 weeks respectively.And the patients left hospital after 12 to 14 postoperative days.Conclusions: The minimally invasive complex treatment of GC is feasible,safe,less traumatic and easy to manipulate with a quick recovery and little pain and without physical signs.

       

    /

    返回文章
    返回