摘要
目的 探讨臀肌挛缩症并发骨盆倾斜的诊断特点及临床治疗效果。方法 13例单侧臀肌挛缩症均采用挛缩带切断术 ,术后立即用宽绷带绑扎双下肢于并膝位 ,回病房后膝下垫软枕于屈髋 4 5°～ 6 0° ,屈膝 30°左右。拆线后 2～ 3d下地进行并膝下蹲活动及大腿交叉架腿锻炼 ,持续锻炼 2～ 3个月。结果 随访 13例 ,11例痊愈 ,步态正常 ,骨盆倾斜消失。 2例好转 ,步态正常 ,骨盆倾斜减轻 ,双下肢脐至内踝距离 (脐踝距离 )不等长 ,相差1cm左右。结论 单侧臀肌挛缩症伴骨盆倾斜 ,多由臀中肌、臀小肌挛缩带引起髋关节外展畸形导致负重力线的改变而致病。采用挛缩带切断术 ,治疗臀肌挛缩症伴假性双下肢不等长 ,手术操作简便 ,手术范围小 ,术中出血少 。
Objective To evaluate the diagnosis characteristics and clinical therapeutic efficacy of gluteus contracture accompanied with the limbs length discrepancy.Methods Contracture zone amputation was adopted in 13 cases with gluteus contracture.After operation,both lower extremities were banded with wide bandage at the position of combined knees.While turned back to sickroom,a soft pillow was placed under knees to stoop coxaes at 45°～60° and the knees were kept between curved at 30°,2～3days after taking out stitches.The patients exercised with squatting and overlapping two legs,maintaining2～3months.Results 13 cases received follow-up,11 cases fully recovered:besides normal walking,pelvic obliquity disappeared.Taking a tum for the better in 2cases:normal walking,pelvic obliquity lightened,the distance of both lower extrmities between umbilicus and ankle inequal,with difference of 1cm between left and right.Conclusion Gluteus medius and gluteus minimus could result in coxae abduction malformation and alteration of weight line,leading to pelvic obliquity.Contracture zone amputation was adopted in 13 cases with gluteus contracture,the operation procedure possessed some merits usch as convenientce,small scope,little boeeding and good effect.
出处
《临沂医学专科学校学报》
2004年第3期175-176,共2页
Journal of Linyi Medical College
关键词
臀肌挛缩症
双下肢不等长
Gluteus contracture
The limbs length discrepancy
