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.	石恩东, 王炳臣, 黄抗美, 等. 影响臀肌挛缩症疗效的相关性因素分析. 中国修复重建外科杂志, 2004, 18(1):43-45.
2.	唐学阳, 刘利君, 彭明惺, 等. 臀肌挛缩合并骨盆倾斜肢体不等长的修复. 中国修复重建外科杂志, 2006, 20(8):835-837.
3.	张文涛, 王岩, 王志刚, 等. 关节镜下软组织松解治疗臀肌挛缩症. 中国临床康复, 2002, 6(12):1758-1759.
4.	刘玉杰, 薛静, 周密, 等. 关节镜下等离子刀微创治疗成年人注射性臀肌挛缩症. 中华外科杂志, 2008, 46(13):970-972.
5.	崔俊成, 王万春, 吴蓓, 等. 关节镜下射频汽化术治疗臂肌挛缩症. 中南大学学报:医学版, 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.	王晓旭, 谭文甫, 谭光华. 关节镜与开放手术治疗臀肌挛缩症的临床疗效对比. 中国修复重建外科杂志, 2011, 25(5):633-634.
8.	王晓旭, 谭文甫, 谭光华. 关节镜治疗臀肌挛缩症的疗效. 中国内镜杂志, 2012, 18(5):512-514.
9.	詹远平. 关节镜与传统开放手术治疗臀肌挛缩症的比较研究. 中国矫形外科杂志, 2012, 20(17):1564-1567.
10.	刘玉杰, 王志刚, 王俊良, 等. 臀肌挛缩症临床分型与关节镜下微创手术. 中国骨伤, 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.	闻志强, 陈静. 关节镜下手术治疗结合早期练功治疗臀肌挛缩16例观察. 黑龙江医学, 2013, 37(7):551-552.
13.	国晓明, 范维亮. 探讨关节镜下监视下射频汽化技术治疗臀肌挛缩症的方法和疗效. 中国社区医师, 2013, 15(4):74-75.
14.	夏榕圻, 楼跃, 范毓华, 等. 儿童臀肌挛缩症的手术治疗. 临床骨科杂志, 2002, 5(3):217-218.
15.	童丹, 张苏明, 伍丹, 等. 血浆渗透压测定在急性脑卒中治疗中的价值和意义. 卒中与神经疾病, 2002, 9(5):273-276.
16.	王鸿利. 实验诊断学. 北京:人民卫生出版社, 2005:212.
17.	陈娟, 阳红卫, 郭曲练. 不同膀胱灌洗液在TURP中对患者电解质、血糖及血浆渗透压的影响. 医学临床研究, 2006, 23(10):1631-1634.
18.	史方悌, 谢登柱, 曹克银, 等. 改良手术方法治疗双侧臀肌筋膜挛缩症. 中华全科医学, 2012, 10(11):1715-1716.
19.	杨英果, 朱冬承, 戈兵, 等. 小切口半直视结合关节镜切刀治疗臀肌挛缩症. 中国矫形外科杂志, 2012, 20(11):1044-1046.
20.	胡军祖, 佟磊, 王锐英, 等. 相对安全区皮下松解术治疗臀肌挛缩症的疗效观察. 中国矫形外科杂志, 2013, 21(3):303-304.

1. 石恩东, 王炳臣, 黄抗美, 等. 影响臀肌挛缩症疗效的相关性因素分析. 中国修复重建外科杂志, 2004, 18(1):43-45.
2. 唐学阳, 刘利君, 彭明惺, 等. 臀肌挛缩合并骨盆倾斜肢体不等长的修复. 中国修复重建外科杂志, 2006, 20(8):835-837.
3. 张文涛, 王岩, 王志刚, 等. 关节镜下软组织松解治疗臀肌挛缩症. 中国临床康复, 2002, 6(12):1758-1759.
4. 刘玉杰, 薛静, 周密, 等. 关节镜下等离子刀微创治疗成年人注射性臀肌挛缩症. 中华外科杂志, 2008, 46(13):970-972.
5. 崔俊成, 王万春, 吴蓓, 等. 关节镜下射频汽化术治疗臂肌挛缩症. 中南大学学报:医学版, 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. 王晓旭, 谭文甫, 谭光华. 关节镜与开放手术治疗臀肌挛缩症的临床疗效对比. 中国修复重建外科杂志, 2011, 25(5):633-634.
8. 王晓旭, 谭文甫, 谭光华. 关节镜治疗臀肌挛缩症的疗效. 中国内镜杂志, 2012, 18(5):512-514.
9. 詹远平. 关节镜与传统开放手术治疗臀肌挛缩症的比较研究. 中国矫形外科杂志, 2012, 20(17):1564-1567.
10. 刘玉杰, 王志刚, 王俊良, 等. 臀肌挛缩症临床分型与关节镜下微创手术. 中国骨伤, 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. 闻志强, 陈静. 关节镜下手术治疗结合早期练功治疗臀肌挛缩16例观察. 黑龙江医学, 2013, 37(7):551-552.
13. 国晓明, 范维亮. 探讨关节镜下监视下射频汽化技术治疗臀肌挛缩症的方法和疗效. 中国社区医师, 2013, 15(4):74-75.
14. 夏榕圻, 楼跃, 范毓华, 等. 儿童臀肌挛缩症的手术治疗. 临床骨科杂志, 2002, 5(3):217-218.
15. 童丹, 张苏明, 伍丹, 等. 血浆渗透压测定在急性脑卒中治疗中的价值和意义. 卒中与神经疾病, 2002, 9(5):273-276.
16. 王鸿利. 实验诊断学. 北京:人民卫生出版社, 2005:212.
17. 陈娟, 阳红卫, 郭曲练. 不同膀胱灌洗液在TURP中对患者电解质、血糖及血浆渗透压的影响. 医学临床研究, 2006, 23(10):1631-1634.
18. 史方悌, 谢登柱, 曹克银, 等. 改良手术方法治疗双侧臀肌筋膜挛缩症. 中华全科医学, 2012, 10(11):1715-1716.
19. 杨英果, 朱冬承, 戈兵, 等. 小切口半直视结合关节镜切刀治疗臀肌挛缩症. 中国矫形外科杂志, 2012, 20(11):1044-1046.
20. 胡军祖, 佟磊, 王锐英, 等. 相对安全区皮下松解术治疗臀肌挛缩症的疗效观察. 中国矫形外科杂志, 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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