臀肌挛缩症的远期随访

发布时间：2018-04-15 11:11

  本文选题：臀肌挛缩症 + 手术治疗　； 参考：《华北理工大学》2015年硕士论文

【摘要】：目的通过随访,评价手术治疗臀肌挛缩症患者的远期疗效,探讨影响臀肌挛缩症术后远期恢复的相关因素。方法回顾2002年1月至2005年6月华北理工大学附属医院骨科收治的46例臀肌挛缩症患者。其中男25例,女21例;年龄7~21岁,平均12.8岁;术后随访10~13年,平均11.6年;均为双侧患病,病程约4~15年。回顾病例,患者按性别、年龄、病程、临床分型分组。制定随访内容及计划,电话预约后随访患者本人,填写调查表,总结、分析随访结果。评估患臀肌挛缩症患者的远期疗效、分析影响术后恢复的因素。结果1臀肌挛缩带松解延长或结合髂胫束延长术治疗臀肌挛缩症患者46例,获得远期随访39例,其中优32例,良6例,可1例。2性别组术后远期恢复情况。男性:优18例,良3例,可1例;女性:优14例,良3例,可0例。3年龄组术后远期恢复情况。15岁:优18例,良1例,可0例;≥15岁:优14例,良5例,可1例。4病程组术后远期恢复情况。≤5年:优20例,良1例,可0例;5年:优12例,良5例,可1例。5临床分型组术后远期恢复情况。轻度优20例,良1例,可0例;中、重度:优12例,良5例,可1例。结论1手术治疗臀肌挛缩症患者术后远期随访优良率97.4%,步态及髋关节功能恢复良好,疗效满意。2臀肌挛缩带松解延长或结合髂胫束延长术治疗臀肌挛缩症操作简便,远期随访手术效果满意。3性别不同的臀肌挛缩症患者术后步态及髋关节功能恢复无明显差别,性别不是影响臀肌挛缩症患者远期功能恢复的因素。4年龄、病程、病情不同的臀肌挛缩症患者术后步态及髋关节功能恢复存在差别,年龄、病程、病情是影响臀肌挛缩症患者远期功能恢复的因素。
[Abstract]:Objective to evaluate the long-term effect of surgical treatment of gluteal muscle contracture (GMC) and to explore the related factors affecting the long term recovery of gluteal muscle contracture (gluteal muscle contracture).Methods from January 2002 to June 2005, 46 patients with gluteal muscle contracture were treated in the Department of Orthopaedics, affiliated Hospital of Huabei University of Science and Technology.There were 25 males and 21 females, aged 721 years with an average of 12.8 years, followed up for 10 ~ 13 years with an average of 11.6 years.The patients were grouped according to sex, age, course of disease and clinical type.Make follow-up contents and plans, follow up after telephone appointment, fill out the questionnaire, summarize and analyze the follow-up results.To evaluate the long-term effect of gluteal muscle contracture and analyze the factors affecting postoperative recovery.Results (1) 46 cases of gluteal muscle contracture were treated with gluteal muscle contracture lengthening or iliotibial tract lengthening. 39 cases of gluteal muscle contracture were followed up for a long time, of which 32 cases were excellent, 6 cases were good, and 1 case was fair in sex group.Male: excellent 18 cases, good 3 cases, fair 1 case; female: excellent 14 cases, good 3 cases, 0 cases of age group. 15 years old: excellent 18 cases, good 1 case, fair 0 cases; 鈮，

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