关节镜;微创;臀肌挛缩症_____关节镜;

关节镜下手术与传统开放手术治疗臀肌挛缩症的疗效比较

http://www.100md.com 《中国矫形外科杂志》 2006年第11期

关节镜;微创;臀肌挛缩症,,关节镜;,微创;,臀肌挛缩症,1资料和方法,2结果,3讨论,参考文献：

     摘要：[目的]比较关节镜下手术和传统开放手术治疗臀肌挛缩症的近期疗效，探讨关节镜手术的适应证。[方法]对48例96侧病变行传统开放手术和42例84侧病变行关节镜下手术的患者的临床资料进行回顾性分析，比较两者手术时间、切口长度、术后疼痛、手术并发症、下床活动时间、术后住院时间、手术疗效、1 a复发率等指标的优劣。[结果]关节镜组在切口长度、术后疼痛、下床活动时间、术后住院时间4项指标明显优于传统开放手术组，而手术时间、手术并发症、手术疗效、1 a复发率与传统手术组无显著差异。[结论]关节镜下软组织松解治疗臀肌挛缩症，是一种安全、有效、美观、经济的值得推广的手术方法，是关节镜在关节外手术中的成功运用。

    关键词：关节镜; 微创; 臀肌挛缩症

    Comparison of the therapeutic effects of arthroscopic treatment and conventional therapy for gluteal muscle contracture∥YUAN Ping,WANG Wanchun,CHEN You,et alDepartment of Orthopedic Surgery,the Second Xiangya Hospital,South Central University,Changsha 410011

    Abstract：[Objective]To compare the immediate therapeutic effects of the treatment of gluteal muscle constracture(GMC)with arthroscopic release of contractured tissue and conventional surgeryTo investigate the indications of arthroscopic surgery[Method]Nintysix limbs of 48 patients with traditional surgery and 84 limbs of 42 patients with arthroscopic surgery were analyzed in terms of operation time,length of the incision,postoperative pain,complications,the time of exercise,postoperative hospital stay and oneyear recurrence rate[Result]Arthroscopic surgery group had smaller incisions,earlier exercise,less postoperative pain and shorter hospital stay than conventional surgery group,but the two groups showed no significant difference in operative time,complications,effects of operation and oneyear recurrence rate[Conclusion]Arthroscopic release of contracture tissue is a safe,effective,economical and cosmetic way to treat the gluteal muscle contractureThis method is worthy of wide promotion ......

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