| 肌腱刀微创技术治疗中重度臀肌挛缩症的疗效分析 |
|
摘要点击次数: 0
全文下载次数: 0
投稿时间：2023-03-24
|
| 作者 | Author | 单位 | Address | E-Mail |
| 高嘉锴 |
GAO Jia-kai |
空军军医大学西京医院创伤骨科, 陕西 西安 710032 |
Department of Orthopaedics Trauma, Xijing Hospital, Air Force Medical University, Xi'an 710032, Shaanxi, China |
|
| 王陶然 |
WANG Tao-ran |
空军军医大学西京医院创伤骨科, 陕西 西安 710032 |
Department of Orthopaedics Trauma, Xijing Hospital, Air Force Medical University, Xi'an 710032, Shaanxi, China |
|
| 毕龙 |
BI Long |
空军军医大学西京医院创伤骨科, 陕西 西安 710032 |
Department of Orthopaedics Trauma, Xijing Hospital, Air Force Medical University, Xi'an 710032, Shaanxi, China |
|
| 陈晓超 |
CHEN Xiao-chao |
空军军医大学西京医院创伤骨科, 陕西 西安 710032 |
Department of Orthopaedics Trauma, Xijing Hospital, Air Force Medical University, Xi'an 710032, Shaanxi, China |
|
| 刘艳武 |
LIU Yan-wu |
空军军医大学西京医院创伤骨科, 陕西 西安 710032 |
Department of Orthopaedics Trauma, Xijing Hospital, Air Force Medical University, Xi'an 710032, Shaanxi, China |
|
| 吴尧平 |
WU Yao-ping |
空军军医大学西京医院创伤骨科, 陕西 西安 710032 |
Department of Orthopaedics Trauma, Xijing Hospital, Air Force Medical University, Xi'an 710032, Shaanxi, China |
|
| 贺翔 |
HE Xiang |
空军军医大学西京医院创伤骨科, 陕西 西安 710032 |
Department of Orthopaedics Trauma, Xijing Hospital, Air Force Medical University, Xi'an 710032, Shaanxi, China |
|
| 牛志霞 |
NIU Zhi-xia |
空军军医大学西京医院创伤骨科, 陕西 西安 710032 |
Department of Orthopaedics Trauma, Xijing Hospital, Air Force Medical University, Xi'an 710032, Shaanxi, China |
835243804@qq.com |
|
| 期刊信息：《中国骨伤》2025年，第38卷，第4期，第420-423页 |
| DOI：10.12200/j.issn.1003-0034.20230406 |
| 基金项目: |
|
中文摘要:
目的: 探讨肌腱刀微创技术治疗中、重度臀肌挛缩症的临床疗效。
方法: 回顾性研究2016年1月至2019年12月收治的双侧臀肌挛缩患者85例(170侧),均采用肌腱刀微创松解术进行治疗。其中男32例,女53例,年龄15~37(22.3±6.3)岁。分析和评估本组患者手术时间、术中出血量、切口长度、术后初次下床活动时间、并发症发生率、复发率、Harris髋关节评分(Harris hip score,HHS)。
结果: 术后随访12~30(16.2±4.6)个月。手术时间7~15(10.2±3.1) min;术中出血量2~20(8.4±2.2) ml;切口长度0.6~2.0(0.8±0.3) cm;术后初次下床活动时间12~28(20.0±3.2) h。所有患者未复发,伤口均Ⅰ期愈合,无坐骨神经损伤。HHS髋关节评分90~98(96.2±1.4)分。2例术中发生肌腱刀刀头折断,经术中透视钳夹取出;3例(3侧)术后出现臀部皮下大片瘀血,2例(各1侧)经加压包扎后治愈,1例(1侧)经开放清理血肿后治愈。29例术后出现短暂摇摆步态,其中24例在4周后恢复正常,5例在6周后恢复正常。
结论: 肌腱刀微创技术治疗臀肌挛缩症具有创伤小、恢复快、治愈率高、并发症少等优点,是一种安全、有效、美观的方法,可获得满意的临床疗效,但其仍有刀头断裂、坐骨神经损伤的风险,需要一定的临床经验。 |
| 【关键词】臀肌挛缩症 微创 松解术 肌腱刀 |
| |
| Clinical efficacy of minimally invasive tendon blade technique in the treatment of moderate and severe gluteal muscle contracture |
|
ABSTRACT
Objective To investigate the clinical effect of minimally invasive technique in the treatment of moderate and severe gluteal muscle contracture.
Methods A retrospective study was conducted on 85 patients (170 sides) with bilateral gluteal muscle contracture admitted from January 2016 to December 2019. All patients were treated with minimally invasive release of tendon knife. There were 32 males and 53 females,ranging in age from 15 to 37 years old,with an average age of (22.3±6.3) years old. Operation time,intraoperative blood loss,incision length,first postoperative ambulation time,complication rate, recurrence rate,and Harris hip score (HHS) were analyzed and evaluated.
Results The average follow up time was (16.2±4.6) months,ranging from 12 to 30 months. The operation time ranged from 7 to 15 min,with an average of (10.2±3.1) min. Intraoperative blood loss ranged from 2 to 20 ml,with an average of (8.4±2.2) ml. The incision length ranged from 0.6 to 2.0 cm, with an average of (0.8±0.3) cm. The time to postoperative ambulation ranged from 12 to 28 h,with an average of (20.0±3.2) h. All patients achieved primary wound healing without sciatic nerve injury or recurrence. HHS hip function scores ranged from 90 to 98,with an average score of (96.2±1.4). Complications included intraoperative tendon blade tip fracture in two cases (removed under fluoroscopic guidance) and subcutaneous hematoma in three cases two resolved with compression and one with open evacuation.. Twenty nine patients exhibited transient swaying gait postoperatively,of which 24 patients returned to normal after 4 weeks and 5 patients returned to normal after 6 weeks.
Conclusion Minimally invasive tendon blade release is a safe and effective technique for treating gluteal muscle contracture,offering minimal trauma,rapid recovery,and excellent cosmetic and functional outcomes. However,it exhibits a low risk of blade tip fracture and sciatic nerve injury,warranting experienced surgical handling. |
| KEY WORDS Gluteal muscle contracture Minimally invasive surgery Percutaneous release Tendon blade |
| |
| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 高嘉锴,王陶然,毕龙,陈晓超,刘艳武,吴尧平,贺翔,牛志霞.肌腱刀微创技术治疗中重度臀肌挛缩症的疗效分析[J].中国骨伤,2025,38(4):420~423 |
| 英文格式: | GAO Jia-kai,WANG Tao-ran,BI Long,CHEN Xiao-chao,LIU Yan-wu,WU Yao-ping,HE Xiang,NIU Zhi-xia.Clinical efficacy of minimally invasive tendon blade technique in the treatment of moderate and severe gluteal muscle contracture[J].zhongguo gu shang / China J Orthop Trauma ,2025,38(4):420~423 |
|
| 阅读全文 下载 查看/发表评论 下载PDF阅读器 |
| 关闭 |
|
|
|
