臀肌挛缩症的切开手术与关节镜手术的疗效对比分析

Comparative Analysis of the Curative Effect between Open Surgery and Arthroscopic Surgery for Gluteal Muscle Contracture

摘要: 目的：探讨切开手术与关节镜手术治疗臀肌挛缩症的疗效对比。方法：收集山东省济宁市第一人民医院自2014年到2016年50例患者，其中切开手术组25例，关节镜手术组25例，对其进行回顾性分析，对比两组之间的手术切口大小、手术时间、出血量、术后住院时间、术后髋关节功能学评分。结果：关节镜手术组手术切口更小、手术时间更短、出血量较少、术后住院时间较短及术后髋关节功能恢复良好，均优于切开手术组，差别具有统计学意义(p < 0.05)。结论：关节镜下小切口治疗臀肌挛缩症具有创伤小、出血少、手术瘢痕小、出院时间段、恢复快等优点，符合目前治疗臀肌挛缩症的发展方向，有较高的社会及经济效益，值得大力推广。

Abstract: Objective: To compare the curative effect between open surgery and arthroscopic surgery for glu-teal muscle contracture. Methods: A total of 50 patients from the First People’s Hospital of Jining City, Shandong Province, from 2014 to 2016 were recruited. Among them, 25 patients underwent open surgery and 25 underwent arthroscopic surgery. A retrospective analysis was performed to compare the incision size, operative time, amount of bleeding, postoperative hospital stay, post-operative hip function scores between the two groups. Results: The arthroscopic surgery group had smaller incisions, shorter operation time, less blood loss, shorter postoperative hospital stay, and good postoperative hip function recovery, which was superior to the incision operation group. The difference was statistically significant (p < 0.05). Conclusion: Arthroscopic small incision for the treatment of gluteal muscle contracture has the advantages of less trauma, less bleeding, small surgical scars, discharge time, and rapid recovery. It is in line with the current development direc-tion of gluteal muscle contracture, and has higher social and economic benefits, which are worth promoting.