摘要
目的探讨关节镜技术在臀肌挛缩症及弹响髋微创外科治疗的可行性。方法对临床病例进行对比研究,了解手术时间、伤口愈合时间、症状改善程度等指标。结果10例患者20侧病变,弹响髋2例,臀肌挛缩症8例。手术前8例不能并膝下蹲,另2例重症患者分膝也不能下蹲。手术后当天所有患者弹响消失,完全下蹲。手术后平均住院时间2.8d,无伤口血肿、神经损伤等合并症。结论关节镜下阔筋膜张肌腱膜、臀肌肌膜及肌肉内的变性束带等软组织松解治疗臀肌挛缩症及弹响髋,是一种安全、有效、美观经济的手术方法。作者创造了一种在人为分离形成的组织腔室内进行关节镜手术的外科技术。
Objective To prove the possibility and reality of the treatment of the gluteal contr acture and snapping hip with arthroscopic soft tissue release.Methods 10patients(20hips)in this group,2snapping hip,8glute al contracture after repeated intra musclar injections.8of them can' t squat down while keep their two knee s contacting,2cases even can' t squat in any position.Results All of the patients can fully finish this posture immediate ly postoperatively.The days stay in hospital after operation is much shorter,and no complications such as sciatic nerve injure nor hematoma in the arthroscopic release group.Conclusion Arthroscpic release of contracture d tissue is a safe,effective and cosmetic way to treat the snappin g hip and gluteal contracture.A new a rthroscpic surgical technique,ie,operating within man-made soft tissue caves,was developed.
出处
《中国临床康复》
CSCD
2002年第12期1758-1759,共2页
Chinese Journal of Clinical Rehabilitation
关键词
关节镜
软组织松解
治疗
臀肌挛缩症
人工组织腔室
arthroscope
gluteal muscle contra cture
snapping kip
man-made soft t issue cave
