CAJ | 학술논문

目的：探讨臀肌挛缩症合并坐骨神经卡压的治疗体会。方法2007年6月-2011年6月对11例臀肌挛缩症行手术治疗，其中2例4臀合并明显的坐骨神经卡压，术中行彻底坐骨神经松解，病变均位于双侧。结果术后切口均Ⅰ期愈合。11例均获随访，术后末次随访患者臀肌挛缩体征消失，2例(4臀)下肢运动感觉障碍均得到改善，优良率92.86%。结论对于臀肌挛缩症合并坐骨神经卡压者，术中应在屈髋内旋位彻底松解坐骨神经卡压，改善坐骨神经张力，术后可取得满意疗效。
목적：탐토둔기련축증합병좌골신경잡압적치료체회。방법2007년6월-2011년6월대11례둔기련축증행수술치료，기중2례4둔합병명현적좌골신경잡압，술중행철저좌골신경송해，병변균위우쌍측。결과술후절구균Ⅰ기유합。11례균획수방，술후말차수방환자둔기련축체정소실，2례(4둔)하지운동감각장애균득도개선，우량솔92.86%。결론대우둔기련축증합병좌골신경잡압자，술중응재굴관내선위철저송해좌골신경잡압，개선좌골신경장력，술후가취득만의료효。
Objective To explore the clinical treatment and the observation of the curative effect of the gluteal muscle contracture with sciatic nerve entrapment. Methods From June 2007 to June 2011, 11 cases of gluteal muscle contracture were treated by surgery, 4 hips in 2 cases with obvious sciatic nerve entrapment, all of which had sciatic nerve released completely. All of the cases were located double glutea. Results All patients achieved healing by the first intention. Postoperative last follow-up in cases with gluteal muscle contracture signs disappear, 2 cases (four hips) with lower sensory dysfunction, decreased muscle strength were improved; with an excellent and good rate of 92.86%. Conclusion Thoroughly loosening the the contracture band and sciatic nerve with hip flexion, adduction and pronation, which has a positive effect after the operation.