RESEARCH OF SAFETY OF ARTHROSCOPIC OPERATION WITH ARTIFICIAL SPACE ON BUTTOCKS_Chinese Journal of Reparative and Reconstructive Surgery

Authors：

YOUTian , ZHANGXintao , LIJiuqun , SUNLimeng , JIANGXiaocheng ,  ZHANGWentao

Department of Sports Medicine and Rehabilitation, Peking University Shenzhen Hospital, Shenzhen Guangdong, 518036, P. R. China;

Corresponding?author：

ZHANGWentao, Email: 17914@163.com

Keywords：

Arthroscopic operation with artificial space; Gluteal muscles contracture; Plasma osmolarity

DOI：

10.7507/1002-1892.20140099

Video：

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Objective To evaluate the safety of arthroscopic operation with artificial space on the buttocks for gluteal muscles contracture (GMC) by measuring the plasma osmolarity. Methods Between May and June 2011, 30 cases of GMC were joined in the study. Of them, 11 were male and 19 were female with an age range from 4 to 39 years (mean, 24.4 years). Twenty-eight patients had a definite history of repeat intragluteal injection. The disease duration ranged from 1-30 years (mean, 14 years). During operation, normal saline solution was used as lavage fluid, and radiofrequency energy was used as cutter for releasing GMC. The plasma sodium, plasma potassium, blood glucose, blood urea nitrogen concentrations, and plasma osmolarity were compared before and after operation; input and output volume of lavage fluid and intravenous dropping volume were recorded. Whether patients suffered from water intoxication or not was observed. The effect was evaluated through the criteria proposed by XIA Rongxi et al. Results The operation was successfully completed in all patients, who had no water intoxication. The operation time was 16-70 minutes (mean, 33.4 minutes). The input volume was 2-23 L (mean, 6.3 L), the output volume was 2-22 L (mean, 5.8 L), and the absorption volume was 0.1-1.2 L (mean, 0.5 L); and the intravenous dropping volume was 350-1 300 mL (mean, 850 mL). No significant difference was found in plasma sodium, plasma potassium, blood glucose, blood urea nitrogen concentrations, and plasma osmolarity between before and after operations (P>0.05). All patients were followed up 3-26 months (mean, 12.7 months). At last follow-up, according to XIA Rongxi's et al evaluation standard, the results were excellent in 27 cases, good in 3 cases, and the excellent and good rate was 100%. Conclusion Arthroscopic operation with artificial space on the buttocks is safe and reliable in the treatment of GMC.

Citation： YOUTian, ZHANGXintao, LIJiuqun, SUNLimeng, JIANGXiaocheng, ZHANGWentao. RESEARCH OF SAFETY OF ARTHROSCOPIC OPERATION WITH ARTIFICIAL SPACE ON BUTTOCKS. Chinese Journal of Reparative and Reconstructive Surgery, 2014, 28(4): 435-437. doi: 10.7507/1002-1892.20140099 Copy

1.	石恩東, 王炳臣, 黃抗美, 等. 影響臀肌攣縮癥療效的相關性因素分析. 中國修復重建外科雜志, 2004, 18(1):43-45.
2.	唐學陽, 劉利君, 彭明惺, 等. 臀肌攣縮合并骨盆傾斜肢體不等長的修復. 中國修復重建外科雜志, 2006, 20(8):835-837.
3.	張文濤, 王巖, 王志剛, 等. 關節鏡下軟組織松解治療臀肌攣縮癥. 中國臨床康復, 2002, 6(12):1758-1759.
4.	劉玉杰, 薛靜, 周密, 等. 關節鏡下等離子刀微創治療成年人注射性臀肌攣縮癥. 中華外科雜志, 2008, 46(13):970-972.
5.	崔俊成, 王萬春, 吳蓓, 等. 關節鏡下射頻汽化術治療臂肌攣縮癥. 中南大學學報:醫學版, 2008, 33(3):274-276.
6.	Liu YJ, Wang Y, Xue J, et al. Arthroscopic gluteal muscle contracture release with radiofrequency energy. Clin Orthop Relat Res, 2009, 467(3):799-804.
7.	王曉旭, 譚文甫, 譚光華. 關節鏡與開放手術治療臀肌攣縮癥的臨床療效對比. 中國修復重建外科雜志, 2011, 25(5):633-634.
8.	王曉旭, 譚文甫, 譚光華. 關節鏡治療臀肌攣縮癥的療效. 中國內鏡雜志, 2012, 18(5):512-514.
9.	詹遠平. 關節鏡與傳統開放手術治療臀肌攣縮癥的比較研究. 中國矯形外科雜志, 2012, 20(17):1564-1567.
10.	劉玉杰, 王志剛, 王俊良, 等. 臀肌攣縮癥臨床分型與關節鏡下微創手術. 中國骨傷, 2013, 26(6):468-470.
11.	Fu D, Yang S, Xiao B, et al. Comparison of endoscopic surgery and open surgery for gluteal muscle contracture. J Pediatr Orthop, 2011, 31(5):e38-43.
12.	聞志強, 陳靜. 關節鏡下手術治療結合早期練功治療臀肌攣縮16例觀察. 黑龍江醫學, 2013, 37(7):551-552.
13.	國曉明, 范維亮. 探討關節鏡下監視下射頻汽化技術治療臀肌攣縮癥的方法和療效. 中國社區醫師, 2013, 15(4):74-75.
14.	夏榕圻, 樓躍, 范毓華, 等. 兒童臀肌攣縮癥的手術治療. 臨床骨科雜志, 2002, 5(3):217-218.
15.	童丹, 張蘇明, 伍丹, 等. 血漿滲透壓測定在急性腦卒中治療中的價值和意義. 卒中與神經疾病, 2002, 9(5):273-276.
16.	王鴻利. 實驗診斷學. 北京:人民衛生出版社, 2005:212.
17.	陳娟, 陽紅衛, 郭曲練. 不同膀胱灌洗液在TURP中對患者電解質、血糖及血漿滲透壓的影響. 醫學臨床研究, 2006, 23(10):1631-1634.
18.	史方悌, 謝登柱, 曹克銀, 等. 改良手術方法治療雙側臀肌筋膜攣縮癥. 中華全科醫學, 2012, 10(11):1715-1716.
19.	楊英果, 朱冬承, 戈兵, 等. 小切口半直視結合關節鏡切刀治療臀肌攣縮癥. 中國矯形外科雜志, 2012, 20(11):1044-1046.
20.	胡軍祖, 佟磊, 王銳英, 等. 相對安全區皮下松解術治療臀肌攣縮癥的療效觀察. 中國矯形外科雜志, 2013, 21(3):303-304.

1. 石恩東, 王炳臣, 黃抗美, 等. 影響臀肌攣縮癥療效的相關性因素分析. 中國修復重建外科雜志, 2004, 18(1):43-45.
2. 唐學陽, 劉利君, 彭明惺, 等. 臀肌攣縮合并骨盆傾斜肢體不等長的修復. 中國修復重建外科雜志, 2006, 20(8):835-837.
3. 張文濤, 王巖, 王志剛, 等. 關節鏡下軟組織松解治療臀肌攣縮癥. 中國臨床康復, 2002, 6(12):1758-1759.
4. 劉玉杰, 薛靜, 周密, 等. 關節鏡下等離子刀微創治療成年人注射性臀肌攣縮癥. 中華外科雜志, 2008, 46(13):970-972.
5. 崔俊成, 王萬春, 吳蓓, 等. 關節鏡下射頻汽化術治療臂肌攣縮癥. 中南大學學報:醫學版, 2008, 33(3):274-276.
6. Liu YJ, Wang Y, Xue J, et al. Arthroscopic gluteal muscle contracture release with radiofrequency energy. Clin Orthop Relat Res, 2009, 467(3):799-804.
7. 王曉旭, 譚文甫, 譚光華. 關節鏡與開放手術治療臀肌攣縮癥的臨床療效對比. 中國修復重建外科雜志, 2011, 25(5):633-634.
8. 王曉旭, 譚文甫, 譚光華. 關節鏡治療臀肌攣縮癥的療效. 中國內鏡雜志, 2012, 18(5):512-514.
9. 詹遠平. 關節鏡與傳統開放手術治療臀肌攣縮癥的比較研究. 中國矯形外科雜志, 2012, 20(17):1564-1567.
10. 劉玉杰, 王志剛, 王俊良, 等. 臀肌攣縮癥臨床分型與關節鏡下微創手術. 中國骨傷, 2013, 26(6):468-470.
11. Fu D, Yang S, Xiao B, et al. Comparison of endoscopic surgery and open surgery for gluteal muscle contracture. J Pediatr Orthop, 2011, 31(5):e38-43.
12. 聞志強, 陳靜. 關節鏡下手術治療結合早期練功治療臀肌攣縮16例觀察. 黑龍江醫學, 2013, 37(7):551-552.
13. 國曉明, 范維亮. 探討關節鏡下監視下射頻汽化技術治療臀肌攣縮癥的方法和療效. 中國社區醫師, 2013, 15(4):74-75.
14. 夏榕圻, 樓躍, 范毓華, 等. 兒童臀肌攣縮癥的手術治療. 臨床骨科雜志, 2002, 5(3):217-218.
15. 童丹, 張蘇明, 伍丹, 等. 血漿滲透壓測定在急性腦卒中治療中的價值和意義. 卒中與神經疾病, 2002, 9(5):273-276.
16. 王鴻利. 實驗診斷學. 北京:人民衛生出版社, 2005:212.
17. 陳娟, 陽紅衛, 郭曲練. 不同膀胱灌洗液在TURP中對患者電解質、血糖及血漿滲透壓的影響. 醫學臨床研究, 2006, 23(10):1631-1634.
18. 史方悌, 謝登柱, 曹克銀, 等. 改良手術方法治療雙側臀肌筋膜攣縮癥. 中華全科醫學, 2012, 10(11):1715-1716.
19. 楊英果, 朱冬承, 戈兵, 等. 小切口半直視結合關節鏡切刀治療臀肌攣縮癥. 中國矯形外科雜志, 2012, 20(11):1044-1046.
20. 胡軍祖, 佟磊, 王銳英, 等. 相對安全區皮下松解術治療臀肌攣縮癥的療效觀察. 中國矯形外科雜志, 2013, 21(3):303-304.

Chinese Journal of Reparative and Reconstructive Surgery

RESEARCH OF SAFETY OF ARTHROSCOPIC OPERATION WITH ARTIFICIAL SPACE ON BUTTOCKS

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