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目的 :探讨减少儿童臀部硬纤维瘤术后的复发以及术后臀肌功能重建的必要性。方法 :对 1974年 5月～ 1999年 1月手术切除治疗的 2 8例儿童臀部硬纤维瘤患儿进行平均 5 5年的追踪随访总结分析。结果 :初期采用一般切除术治疗的 9例有 5例复发 ;改用广泛切除术治疗的 2 4例 (包括前期复发的 5例 ) ,仅有 3例复发。有 2 1例术后有不同程度的下肢跛行 ,对跛行严重的患儿行了臀肌功能重建 ,步态获得了明显改善。结论 :广泛切除治疗儿童臀部硬纤维瘤是减少术后复发的有效方法 ,臀肌功能的重建对改善术后儿童的步态以及维持骨盆的稳定性是非常必要的。
Objective: To explore the need of reducing postoperative recurrence of hip gluteal fibroids and reconstruction of postoperative gluteal muscle function in children. Methods: A total of 28 children with hip dysplasia who underwent surgical resection from May 1974 to January 1999 were analyzed retrospectively for a follow-up of 55 years. Results: There were 5 cases of recurrence in 9 cases treated with general excision in early stage, 24 cases treated with extensive resection (including 5 cases of early recurrence), and only 3 cases relapsed. There are 21 cases of postoperative limp limpness to varying degrees, for children with severe limp line gluteal muscle function reconstruction, gait achieved significant improvement. CONCLUSION: Extensive resection of hip gluteal fibroids in children is an effective way to reduce postoperative recurrence. Reconstruction of gluteal muscle function is necessary to improve the postoperative gait and maintain pelvic stability.