背阔肌、骶棘肌和人工腱联合重建臀肌功能(附30例临床分析)

摘要

This report describes a new method to reconstruct the function of gluteus with combined latissimus dorsal and sacrospinalis muscles and artificial tendon.Since 1985,30 cases aged 4-14 years have been operated on and all got satisfactory results except 3.The latissimus dorsal and sacrospinalis muscles were joined with the artificial tendon and fixed in a drilled hole located 2 cm below the greater trochanter and 5 cm below and on the back of the greater trochanter as a substitution for gluteal medium muscle and gluteal maximum muscle respectively.In comparison with the transferring of the abdominal external oblique muscle and musculus tensor fasciae latae,this procedure is more conformable to the biodynamic principles.After operation the stability of the hip can be improved.The authors consider this method is simple,safe with less trauma and less complications.%本文报告采用背闭肌、骶棘肌和人工腱联合重建臀肌功能30例,术后随访6个月～3年,其优良率达90%.介绍了此术的方法,并将其符合生物力学要求的几点因素与既往采用的腹外斜肌、骶棘肌与阔筋膜张肌及髂腰肌等代臀肌术式,在手术方法、疗效及并发症等方面作了比较.