住院先天性肌性斜颈儿童的临床流行病学特征分析  

Analysis on clinical epidemiological characteristics of hospitalized children with congenital muscular torticollis

作　　者：李晓明[1] 吴宇[2] 甘清[1] 段友方[1] 杜玉开[2] 

机构地区：[1]湖南省儿童医院,湖南长沙410007 [2]华中科技大学公共卫生学院儿少卫生与妇幼保健学系

出　　处：《中国妇幼保健》2010年第36期5407-5409,共3页Maternal and Child Health Care of China

摘　　要：目的：了解先天性肌性斜颈（Congenital Muscular Torticollis,CMT）住院儿童的流行病学临床特征,为预防儿童CMT提供一定的理论依据。方法：回顾性分析湖南省儿童医院2002年1月~2008年6月收治的525例0~16岁CMT住院儿童资料。结果：525例中男童324例,女童201例;右侧CMT病变306例,左侧219例;保守治疗组和手术治疗组的确诊年龄及从发现到就诊的时间间隔不同;以胎位异常及异常分娩方式发生率高,分别为19.8%、28.2%;13.5%的CMT患儿合并畸形;先天性髋关节发育不良部位多与CMT同侧;面部畸形程度与年龄相关。结论：遗传因素、胎位异常、异常分娩方式可能是儿童CMT的危险因素。加强孕产期保健有助于降低CMT的发病率。Objective：To understand the epidemiological characteristics of hospitalized children with congenital muscular torticollis（CMT）,provide a basis for prevention of CMT in children.Methods：The clinical data of 525 children diagnosed as CMT in Children＇s Hospital of Hunan from January 2002 to June 2008 were analyzed retrospectively.Results：525 children included 324 boys and 201 girls;306 children were found with right CMT,and 219 children were found with left CMT;the diagnostic ages and the time intervals between finding symptoms and visiting hospital in conservative treatment group and surgery treatment group were different;the incidences of abnormal fetal position（19.8%）and abnormal delivery modes（28.2%）were high;13.5% of the CMT children were combined with deformity;the position of congenital dysplasia of hip was at the same side with CMT;the grades of facial asymmetry was related to age.Conclusion：Genetic factors,abnormal fetal position and abnormal delivery modes are risk factors of CMT in children;enhancing health care during pregnancy may help to reduce the incidence of CMT.

关 键 词：先天性肌性斜颈 儿童 流行病学 

分 类 号：R722.11[医药卫生—儿科]