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目的 :探讨臀肌筋膜挛缩症的病因、病名、鉴别诊断及治疗。方法 :回顾性分析 1987年 7月～ 2 0 0 3年 7月收治的臀肌筋膜挛缩症 3 4例 ,年龄 4～ 16岁。双侧病变 2 9例 ,单侧 5例 ,全部病例经诊断明确后均采取手术治疗。结果 :3 0例患儿获随访 1～ 17年 ,手术疗效满意。结论 :应早期诊断、早期治疗 ,手术治疗是唯一的有效治疗方法。强调手术时必须将纤维变性的条索物完全切除及对一切挛缩组织作彻底地切断松解。该症应与髂胫束挛缩症相鉴别。
Objective: To investigate the cause, disease name, differential diagnosis and treatment of gluteal fascia contracture. Methods: A retrospective analysis of July 1987 ~ July 2003 admitted gluteal muscle contracture 34 cases, aged 4 to 16 years old. Bilateral lesions in 29 cases, unilateral in 5 cases, all cases were diagnosed by surgery. Results: Thirty patients were followed up for 1 to 17 years. The curative effect was satisfactory. Conclusion: Should be early diagnosis, early treatment, surgical treatment is the only effective treatment. Emphasize the operation must be completely degenerative fibroids removed and all contracture tissue to completely cut off the release. The disease should be identified with iliotibial tract contracture.