超声诊断小儿先天性肌性斜颈伴发先天性髋关节发育不良的价值分析  

Value Analysis of Ultrasound in Diagnosing Congenital Muscular Torticollis Accompanied by Congenital Hip Dysplasia in Children

作　　者：许逸 周敬勉 姚丽婷 XU Yi;ZHOU Jingmian;YAO Liting(Department of Ultrasound,Xiamen Hongai Hospital,Xiamen 361000,China)

机构地区：[1]厦门弘爱医院超声科,福建厦门361000

出　　处：《中国医药指南》2023年第27期86-88,共3页Guide of China Medicine

摘　　要：目的研究超声诊断小儿先天性肌性斜颈(CMT)伴发先天性髋关节发育不良(DDH)的价值。方法观察对象为2021年1月至2023年1月入院的86例CMT患儿,以病理检验为诊断金标准,根据患儿是否伴发DDH分为研究组(CMT伴发DDH)与对照组(CMT),所有患儿均接受超声检查,观察CMT与DDH伴发情况、DDH患儿发病情况,比较两组双侧胸锁乳突肌(SCM)厚度。结果86例CMT患儿中,16例患儿伴发先天性髋关节发育不良,伴发率为18.60%。男女发病率比较,差异无显著性(P>0.05);CMT伴发DDH与患儿斜颈程度有关。研究组16例患儿中,GrafⅡ分型在髋关节Graf分型中占据比率为87.50%(14/16),DDH发生部位中左侧发生率最高,发生率为75.00%(12/16);与CMT发生部位比较,同侧发生率最高,发生率为75.00%(12/16)。研究组双侧SCM厚度比率及差值明显高于对照组,差异有显著性(P<0.05)。结论CMT与DDH有一定伴发率,CMT伴发DDH早期诊断、治疗方案制定及疗效评估中超声可提供重要依据。Objective To study the value of ultrasound in diagnosing congenital muscular torticollis(CMT)in children with congenital hip dysplasia(DDH).Methods The observation subjects were 86 CMT patients admitted from January 2021 to January 2023.Pathological examination was used as the diagnostic gold standard,and the patients were divided into a study group(CMT with DDH)and a control group(CMT)based on whether they were accompanied by DDH.All patients underwent ultrasound examination to observe the estrus status of CMT and DDH,as well as the incidence of DDH in the children.The thickness of bilateral sternocleidomastoid muscle(SCM)in the two groups was compared.Results Among 86 CMT patients,16 of them were accompanied by congenital hip dysplasia,with a concomitant rate of 18.60%.There was no significant difference in the incidence rate between men and women(P>0.05);CMT accompanied by DDH is related to the degree of torticollis in children.Among the 16 children in the study group,Graf Ⅱ classification accounted for 87.50%(14/16)of Graf classification in the hip joint.The incidence of DDH was highest on the left side,with an incidence rate of 75.00%(12/16);Compared with the site of CMT occurrence,the ipsilateral incidence rate is the highest,with an incidence rate of 75.00%(12/16).The ratio and difference of bilateral SCM thickness in the study group were significantly higher than those in the control group,with significant differences(P<0.05).Conclusion CMT and DDH have a certain concomitant rate,and ultrasound can provide important basis for early diagnosis,treatment plan formulation,and efficacy evaluation of CMT with DDH.

关 键 词：超声 诊断 小儿先天性肌性斜颈 先天性髋关节发育不良 侧胸锁乳突肌 

分 类 号：R729[医药卫生—儿科] R445.1[医药卫生—临床医学]