目的　探讨臀肌筋膜挛缩症手术并发症的原因及预防方法。方法　分析 356例臀肌筋膜挛缩症手术治疗后 31例出现并发症的原因,并提出预防手术并发症的措施。结果　再次手术的原因主要为松解不彻底,其次为松解过度等。31例经 6个月~7年的随访,效果满意。结论　初次手术术前应有充分的准备,对松解的侧重点应有足够的认识,既要松解彻底但又不能过度。二次手术前要做详细检查,判断其原因,作出手术计划。 Objective To investigate the causes and prevention of surgical complications of gluteal muscle contracture. Methods The causes of complication in 356 cases of gluteal muscle contracture after operation were analyzed, and the measures to prevent complications were put forward. Results Reoperation was mainly due to incomplete release, followed by over-release and so on. 31 cases after 6 months to 7 years of follow-up, the effect is satisfactory. Conclusion The first operation should be fully prepared before surgery, the focus of the release should have sufficient knowledge, it is necessary to release completely but not too much. Before the second surgery to do a detailed examination to determine the reason, make a surgical plan.