先天性肌性斜颈的两种手术方法比较  

Surgical treatment of congenital muscular torticollis: comparison of two operative methods

作　　者：卓阳[1] 胡志奇[1] 高建华[1] 曾兴业 黄大道 

机构地区：[1]第一军医大学南方医院整形外科,广州510515 [2]解放军第118医院外科

出　　处：《中华医学美学美容杂志》2004年第2期95-97,共3页Chinese Journal of Medical Aesthetics and Cosmetology

摘　　要：目的　探讨先天性肌性斜颈两种手术治疗的方法和效果。方法　回顾性分析 86例先天性肌性斜颈患者 ,其中 12岁以内者 6 9例 ,12岁及大于 12岁者 17例 ,根据年龄及畸形严重程度的不同采用不同的治疗术式 :胸锁乳突肌下端切断术和胸锁乳突肌上、下端切断术加术后牵引治疗。结果　本组 86例中随访 72例 ,随访时间 1～ 7年 ,平均 4 .5年。从功能和外观两方面进行了术后评价 :12岁以下 5 7例 ,其中优 5 2例 (91.2 % ) ,良 5例 (8.8% ) ,无劣级 ;12岁及大于 12岁 15例 ,其中优 11例 (73.3% ) ,良 4例(2 6 .7% ) ,无劣级。结论　对先天性肌性斜颈患者 ,应根据不同情况选择恰当的手术治疗术式 ,一般均可获得满意的效果。Objective To evaluate the therapeutic efficacy of congenital muscular torticollis (CMT) by two different methods. Methods A total of 86 patients with congenital muscular torticollis in recent 7 years were involved in this study, including 69 cases under 12 years old and 17 cases over 12. Two different operation methods, incision of inferior extremity of sternocleidomastoid muscle and incision of amphi-sternocleidomastoid muscle with post-operative traction, were alternatively chosen according to the ages and deformed degrees of the patients. Results 72 patients were followed-up for 1 to 7 years (averaged 4.5 years). Based on the effect of function and cosmetology in the group of 57 cases under 12 years old, there were 52 cases (91.2 %) excellent, 5 cases (8.8 %) good and no case with side-effects. Meanwhile, in the group of 15 cases over 12 years old, there were 11 cases (73.3 %) excellent, 4 cases (26.7 %) good and no case with side-effects. The effect was satisfactory. Conclusion Different patients with congenital muscular torticollis should be treated with different therapeutic methods.

关 键 词：先天性肌性斜颈 手术方法 手术治疗 小儿 

分 类 号：R687[医药卫生—骨科学]