CAJ | 학술논문

目的探索重度臀肌筋膜挛缩症及其所致臀腰部畸形的最佳治疗方法.方法对25例重度臀肌筋膜挛缩症及其所致臀腰部畸形患者,依Z成形术原则进行挛缩带和挛缩瘢痕的松解后,将局部皮肤进行重新分配和塑形加以治疗.结果 25例双侧髋关节功能完全恢复,步态正常,腰臀部形态基本平整,无坐骨神经损伤.术后随访6个月至3年,平均1.6年,无畸形复发.结论 Z成形术既解除了挛缩带对关节功能的牵制,又可对局部皮肤进行重新分配,矫正孪缩造成的凹陷畸形,术后功能和外形效果均佳,是治疗重度臀肌筋膜症及其所致臀腰部畸形的良好方法.
목적 탐색중도둔기근막련축증급기소치둔요부기형적최가치료방법.방법 대25례중도둔기근막련축증급기소치둔요부기형환자,의Z성형술원칙진행련축대화련축반흔적송해후,장국부피부진행중신분배화소형가이치료.결과 25례쌍측관관절공능완전회복,보태정상,요둔부형태기본평정,무좌골신경손상.술후수방6개월지3년,평균1.6년,무기형복발.결론 Z성형술기해제료련축대대관절공능적견제,우가대국부피부진행중신분배,교정련축조성적요함기형,술후공능화외형효과균가,시치료중도둔기근막증급기소치둔요부기형적량호방법.
Objective To describe an appreciate operation method in the treatment of deformi-ties secondary to gluteal muscles and fascia contracture. Methods 25 cases of serious secondary de-formity of gluteal muscles and fascia contracture were treated by Z-plasty. The contracted fascia and scar were loosed and the skin around the wound was rearranged. Results The following-up time was from 6 months to 3 years with an average time of 1.6 years. All cases rehabilitated to normal or nearly normal in gait. Aesthetic results were also satisfactory. No recurrence was observed. Conclusion Re-arranging the contracted fascia with Z-plasty can extend the fascia and improve the movement of the hip joint. Besides, Z-plasty treatment of skin around the scar is benefit for the aesthetic result of the deformities, Z-plasty of contracted fascia and skin is an appreciate operation method in the treatment of deformities secondary to gluteal muscles and fascia contracture.