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脑瘫性髋脱位的治疗是个难题,在治疗选择上存有争论。髋脱位发生率在四肢瘫占28％,两下肢瘫仅占6％,偏瘫者不多见。治疗目的包括止痛、使坐姿平衡、减少褥疮、防止骨折和便于大小便护理。多数学者认为维持髋关节的稳定很重要,因脱位会引起疼痛。目前尚无满意的治疗方法。笔者采用单纯Chiari骨盆截骨术而不同时进行其他骨性手术(包括股骨手术、切开复位和其他髋臼手术),结果起到了稳定髋关节和消除疼痛的作用。 1 临床资料 自1987～1992年我院采用Chiari骨盆截骨术治疗12例脑瘫性髋脱位患者,平均随访5年2个月(从2年5个月～7年2个月)。询问并比较手术前
The treatment of cerebral palsy hip dislocation is a problem, there is controversy in the treatment options. The incidence of hip dislocation in quadriplegia accounted for 28%, two lower limb paralysis only 6%, hemiplegia are rare. Therapeutic purposes include pain relief, balance of sitting position, reduction of bedsores, prevention of fractures, and ease of toilet care. Most scholars believe that it is important to maintain the stability of the hip joint, because dislocation can cause pain. There is currently no satisfactory treatment. I used a simple Chiari pelvic osteotomy instead of performing other bony operations (including femoral surgery, open reduction, and other acetabular procedures) at the same time. The result was to stabilize the hip joint and eliminate pain. 1 clinical data from 1987 to 1992 in our hospital Chiari pelvic osteotomy for treatment of 12 patients with cerebral palsy dislocation of the hip were followed up for an average of 5 years and 2 months (from 2 years 5 months to 7 years and 2 months). Ask and compare before surgery