摘要
自1978年～1987年3月,采用以腹直肌为动力重建脊髓灰质炎后遗屈髋肌瘫痪功能,在下段腹直肌解剖学观察基础上,对8～38岁78例患者施行屈髋功能重建,经平均4年9个月随访,屈髋肌力全部在Ⅲ级以上,其中肌力Ⅳ级16例,Ⅲ～Ⅳ级62例;脊柱侧弯矫正平均21°,挺腹甩腿步态矫正,大多徒步2～5公里无疲劳。全组优良率96.2％。对适应症、手术方法和少数并发症等基本理论进行了讨论。
Musculus rectus abdominis was used as motive power to restore the function of the flexor of the hip after poliomyelitis from 1978 till March 1987. On the basis of a study on the inferior part of musculus rectus abdominis, 78 patients, 8—28 years of age, were operated in order to restore the flexibility of the hip. After an average follow-up period of four years and nine months, it was found that the power of the flexibilty of the hip were above grade Ⅲ, 16 cases belonging to grade IV and the remaining 62 cases belonging to grade Ⅲ or below grade Ⅳ. The functional scoliosis was corrected to an average of 21°. The lame gait was also corrected. Most of the pationts could walk 2.5—5 kilometres without tiredness. The results of 75 cases (96.2％) in this group were good or excellent. The basic theories concerning surgical candidates, surgical techniques, biomechanics and complications were also discussed. The method used is regarded as a good method of restoring the function of the flexibility of the hip.
出处
《中国康复医学杂志》
CAS
CSCD
1989年第2期1-3,共3页
Chinese Journal of Rehabilitation Medicine
