儿童臀肌挛缩症所致骨盆倾斜  

Gluteus Muscles Contracture Lead to Children,s Pelvis Tilt

作　　者：谢丰[1] 童学波[1] 俞辉国[1] 

机构地区：[1]上海第二医科大学附属瑞金医院小儿外科,上海200025

出　　处：《临床小儿外科杂志》2005年第1期11-13,17,共4页Journal of Clinical Pediatric Surgery

摘　　要：目的探讨儿童臀肌挛缩症所致骨盆倾斜的病理解剖基础、诊断和手术方法。方法对1990～2003年在我院手术治疗的541例儿童臀肌挛缩症进行系统回顾和分析研究,并对手术效果进行随访评估。结果骨盆倾斜37例,占6.8%,主要原因是臀中、小肌严重挛缩,某些病例两侧都存在倾斜因素。适合本病的骨盆倾斜角测量方法,可帮助识别是否存在骨盆倾斜,根椐臀中、小肌的病理解剖特点和不同病情酌情选择手术方法。随访29例,随访时间2～12年,结果良好。结论臀中、小肌的严重挛缩是儿童臀肌挛缩症所致骨盆倾斜的主要原因和影响其疗效的因素,获得良好疗效的关键是彻底松解、保存或重建其外展功能。Objective To investigate the pathological anatomy,diagnosis and surgical technique for pelvis tilt due to gluteurs muscles contracture(PTGC) in children. Method 541 cases of gluteus muscles contracture treated during 1990-2003 in Ruijin Hospital were analyzed retrospectively.The method of measuring the pelvis-inclination angle of PTGC were discussed in the paper. Results 37 of them were PTGC(6.8%). The main cause was severe contracture in gluteus mediums and gluteus minimus. 9 cases were bilateral. The authors emphasized that on basis of the patho-anatomy feature and the different lesion pattern selected proper the surgical technique. 29 cases were followed up for 2-13 years period. All have satisfactory outcome. Conclusions The key point for good efficacy is to relax completely the contractures of gluteus med and min,and to reserve or reconstruct the function of abduction of the hip.

关 键 词：肌疾病/并发症 挛缩 臀 骨盆/畸形 

分 类 号：R726.8[医药卫生—儿科]