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目的探讨绳肌髌韧带转移矫治青少年儿麻后遗症 (股四头肌麻痹 )的疗效与优越性。方法治疗组 5 6例用绳肌髌韧带转移术重建股四头肌功能 ,对照组 43例用绳肌髌骨转移代股四头肌术。结果 2组均随访 1- 4年 ,治疗组手术优良率 87.5 % ,对照组 6 9.8% ,2组比较差异有显著性 (P<0 .0 5 )。结论绳肌髌韧带转移矫治青少年股四头肌麻痹疗效好 ,并发症少 ,操作简便 ,手术时间短 ,失血少 ,成功率高 ,但要掌握手术适应症、手术年龄与手术时机
Objective To investigate the efficacy and superiority of hamstring patellar tendon transfer in the treatment of adolescent numbness sequelae (quadriceps paralysis). Methods In the treatment group, the function of the quadriceps femoris was reconstructed in 56 cases with hamstring patellar tendon transfer, while in the control group, 43 cases were treated with patellar transfer of pterygoid quadriceps femoris. Results The patients in both groups were followed up for 1-4 years. The excellent and good rate of operation in the treatment group was 87.5% and that in the control group was 6.8%. There was significant difference between the two groups (P <0.05). Conclusions The hamstring patellar tendon transfer has the advantages of effective treatment of quadriceps paralysis in adolescents, less complications, simple operation, shorter operation time, less blood loss and high success rate. However, surgical indications, operative age and operation timing