单侧臀肌挛缩症的诊断与治疗.pdf

文档介绍：·530· Chinese Journal of Reparative and Reconstructive Surgery, May 2011, Vol. 25,
单侧臀肌挛缩症的诊断与治疗
陈小亮 唐学阳 蒋欣 王道喜 彭明惺 刘利君
【摘 要】  目的 探讨单侧臀肌挛缩症的发病机制、诊断和治疗方法。 方法  1990 年 1 月- 2009 年 9 月,收
治 41 例单侧臀肌挛缩症患者。男 24 例,女 17 例;年龄 6 ~ 29 岁,平均 12 岁。39 例有明确反复臀肌注射史。左侧 9 例,
右侧 32 例。主要临床症状为步态异常、跛行。检查示骨盆倾斜,下肢相对不等长,脐至内踝距离相差 ~ cm,平均
 cm。骨盆 X 线片示股骨大粗隆突出,骨盆向患侧倾斜。CT 检查示除骨盆倾斜外骨结构无异常,患侧臀肌变薄、萎缩。
采用经大转子后外侧纵弧形切口行臀肌挛缩松解术,术后行双下肢皮肤牵引及康复训练。 结果 术后切口均Ⅰ期愈合。
41 例均获随访,随访时间 1 ~ 20 年,平均随访 5 年。患者臀肌挛缩体征消失。术后 1 年 34 例双下肢等长,5  例遗留轻度
骨盆倾斜,2 例骨盆倾斜较明显;根据刘国辉等疗效评定标准,获优 33 例,良 6 例,差 2 例,优良率 %。 结论 单侧
臀肌挛缩症致骨盆倾斜出现双下肢相对不等长,采用大转子后外侧纵弧形切口行臀肌挛缩松解术配合双下肢皮肤牵引及
康复训练可获满意疗效。
【关键词】单侧臀肌挛缩症下肢相对不等长臀肌挛缩松解术
DIAGNOSIS AND TREATMENT OF UNILATERAL GLUTEAL MUSCLE CONTRACTURE/CHEN Xiaoliang, TANG
Xueyang, JIANG Xin, WANG Daoxi, PENG Mingxing, LIU Lijun. Department of Pediatrics, West China Hospital, Sichuan
University, Chengdu Sichuan, 610041, . Corresponding author: LIU Lijun, E-mail: LL1964@
【Abstract】 Objective  To investigate the pathogenesis, diagnosis, and treatment of unilateral gluteal muscle
contracture.  Methods  Between January 1990 and September 2009, 41 patients with unilateral gluteal muscle contracture were
treated and the clinical data were retrospectively analysed. Among them, 24 were male and 17 were female with an age range
from 6 to 29 years (mean, 12 years).