微创医学

目的探讨关节镜下治疗臀肌挛缩症的临床疗效。方法将26例臀肌挛缩症患者分为治疗组和对照组各13例，治疗组应用关节镜手术，对照组行开放手术，比较两组疗效、术中出血量、手术时间、切口长度、下床活动时间、住院时间等指标。结果治疗组优9例、良3例、可1例、差0例；对照组优7例、良4例、可2例、差0例，治疗组优良率为92.31%，高于对照组（84.62%），治疗组的疗效及总优良率和对照组比较，差异无统计学意义（P＞0.05）。治疗组的术中出血量、切口长度、下床活动时间、住院时间均明显少于对照组，差异有统计学意义（P＜0.05）。两组手术时间、术后不良反应发生率、术后1年内复发率相比，差异均无统计学意义（P＞0.05）。结论关节镜下治疗臀肌挛缩症疗效显著，创伤小、出血少、康复时间短、住院时间少、术后疼痛不明显，术后不良反应和复发率均较小，具有临床推广价值。

ObjectiveTo explore the clinical efficacy of arthroscopy in treatment of gluteal muscle contracture. Methods26 patients with gluteal muscle contracture were divided into treatment group and control group,13 cases in each group. The treatment group were treated with arthroscopic surgery, the control group were treated with open operation, then the efficacy, operation time, incision length, the time to get out of bed, hospitalization time and other indexes of two groups were observed. ResultsIn the treatment group, 9 cases were excellent, 3 cases good, 0 cases poor, and in the control group, 7 cases were excellent, 4 cases good, 0 cases poor. The total excellent rate showed no significant difference (P＞0.05). The amount of bleeding, the length of the incision, the length of the bed, and the length of hospital stay in the treatment group were significantly less than those in the control group(P＜0.05 ). There were no differences in the operation time, incidence of postoperative adverse reaction, 1-year postoperative recurrence rate (P＞0.05). ConclusionArthroscopy in treatment of gluteal muscle contracture is effective, worthy of clinical promotion.