摘要
该文报告了62例儿童臀中肌挛缩症及其手术治疗结果。该组病例中男37例,女25例,年龄4~17岁,均有臀部反复肌注史。根据症状、体征及病变不同,可将该症分为两种类型:Ⅰ型病变为臀大肌和臀中肌均有纤维化及率缩;Ⅱ型病变仅为臀中肌的纤维化及挛缩。在两种类型病例中有36例出现骨盆倾斜及下肢假性不等长。手术方式是彻底切断松解纤维化及挛缩的肌肉及臀筋膜,配合术后早期功能锻炼。该组病例均取得满意效果。
An operation was performed on 62 patients with gluteus medius muscle contractures and the results were analysed. The 37 male and 25 female patients ranged in age from four to 17 years old. All of the patients had a history of repeated intromuscular injections in the buttocks, and could be divided into two types according to symptoms,signs, and pathologic changes. Type 1 exhibited contracture of the gluteus maximus and medius muscles, and type 2 exhibited only contracture of the gluteus medius muscle. Pelvic tilt and fase unequal length in lower extremities was observed in 36 patients. All fibrotic bands and contracture tissue were cut and released during the operation, and satisfactory results were obtained through postoperative physical rehabilitation.
出处
《中国现代医学杂志》
CAS
CSCD
1997年第6期1-3,共3页
China Journal of Modern Medicine
关键词
臀中肌
挛缩症
儿童
Gluteus medius muscle
Contracture