臀肌挛缩症的生物力学机制探讨
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THE BIOMECHANICAL STUDY OF GLUTEAL MUSCLE CONTRACTURE
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    目的 探讨臀肌挛缩症患者临床表现的生物力学机制。方法 切取手术中得到的臀肌挛缩带及新鲜病尸的臀肌制成肌纤维束标本 ,在MTS生物力学测试机上测定其拉伸的力学性质。结果 臀肌挛缩带拉伸的弹性模量、极限强度和极限应变分别为 (2 .73 2± 0 .792 )N mm2 ,(1 48.3 2± 3 .84)MPa ,0 .896± 0 .3 1 5。而正常臀肌的弹性模量、极限强度和极限应变分别为 (0 .1 43± 0 .0 2 4)N mm2 ,(1 0 .5 0± 1 .69)MPa ,1 .43 4± 0 .40 2。两者间均有显著差异。结论 臀肌挛缩后 ,其强度和刚度增大 ,而弹性则减小 ,这是引起一系列临床表现的力学基础

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    Objective To discuss the biomechanical mechanism of clinical representation of gluteal muscle contracture (GMC). Methods Gluteal muscle contracture strips (GMCS) and normal gluteal muscles (NGM) were made into fasciculi. Then the biomechanical character of the specimens were measured on MTS machine.Results The elastic modulus of GMCS is averaged 2.732 N/mm 2, the maximum intension of GMCS is averaged 148.32MPa, and the maximum strain of GMCS is 0.896. In NGM, the elastic modulus is averaged 0.143N/mm 2, the maximum intension is averaged 10.50 MPa, and the maximum strain is 1.434. The difference between elastic modulus and maximum strain of GMCS and those of NGM was great (P<0.05), and the difference between maximum intension of GMCS and that of NGM was significant great (P<0.01). Conclusion The intention and rigidity of GMCS increase greatly than those of NGM. This is the biomechanical foundation for GMC in clinical representation.

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肖进,原林,邱洁,赵卫东.臀肌挛缩症的生物力学机制探讨[J].医用生物力学,2002,17(3):134-136

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