自制臀肌挛缩切刀治疗臀肌挛缩症的应用观察  

Observation on the application of self-made gluteus muscle contracture cutter in treating gluteus muscle contracture

作　　者：杨英果[1] 朱冬承[1] 戈兵[1] 张杰[1] 汤长华[1] YANG Yingguo;ZHU Dongcheng;GE Bing;ZHANG Jie;TANG Changhua(The Third Department of Orthopaedics,the People′s Hospital of Sihong County,Sihong 223900,Jiangsu,China)

机构地区：[1]泗洪县人民医院骨Ⅲ科,江苏省泗洪县223900

出　　处：《微创医学》2020年第4期449-451,481,共4页Journal of Minimally Invasive Medicine

摘　　要：目的探讨自制臀肌挛缩切刀治疗臀肌挛缩症的方法及疗效。方法于大转子后上2 cm做1.0~1.2 cm切口,屈曲、内旋、内收髋关节,用自制臀肌挛缩切刀盲视下通过手感切断挛缩筋膜。术后指导功能锻炼。观察患者的治疗效果。结果所有患者均获随访,时间15~52个月。患者无切口感染,无髋关节不稳、坐骨神经损伤等并发症发生。患者交腿试验、并膝下蹲、步态、运动恢复正常,Ober征、"蛙腿"征阴性。本组患者的四项评定结果疗效均为优。结论采用自制臀肌挛缩切刀治疗臀肌挛缩症,创伤小、安全可行、操作简单、符合微创理念,值得临床推广应用。Objective To explore the method and efficacy of self-made gluteus muscle contracture cutter in the treatment of gluteus muscle contracture.Methods A 1.0-1.2 cm incision was made on the 2 cm posterior upper part of the greater trochanter,flexion,internal rotation and adduction hip joint,the self-made gluteus muscle contracture cutter was employed to cut off the contracture fascia by hand feeling through blindness.Functional training was guided after operation.The therapeutic effects of patients were observed.Results All patients were followed up for 15 to 52 months.There were no complications for incision infection,hip joint instability,sciatic nerve injury in patients.The cross legs test,knees together and squat,gait,and exercises returned to normal.The Ober test and“frog legs”test was negative.The four evaluation results of this group of patients were all excellent.Conclusion Employing self-made gluteus muscle contracture cutter in treating gluteus muscle contracture has small trauma,which is safe and feasible,easy to operate,and coincident to the minimally invasive theory,and thus it is of clinical promotion and application.

关 键 词：微创 切刀 臀肌挛缩症 

分 类 号：R685[医药卫生—骨科学]