CAJ | 학술논문

目的：对29例先天性肌性斜颈手术后复发病例的治疗进行总结。方法回顾性分析1998年1月至2013年1月收治的29例先天性肌性斜颈手术后复发病例的临床和随访资料。29例均行胸锁乳突肌双极松解术，术后予枕颌牵引1个月，佩戴胸颈联合支具3~6个月。结果29例均获得长期随访（11个月至10年），患者头颈偏斜症状消失，颈活动正常，效果优良。结论胸锁乳突肌双极松解术，联合术后枕颌吊带牵引、佩戴胸颈联合支具，是治疗先天性肌性斜颈术后复发病例的有效方法。
목적：대29례선천성기성사경수술후복발병례적치료진행총결。방법회고성분석1998년1월지2013년1월수치적29례선천성기성사경수술후복발병례적림상화수방자료。29례균행흉쇄유돌기쌍겁송해술，술후여침합견인1개월，패대흉경연합지구3~6개월。결과29례균획득장기수방（11개월지10년），환자두경편사증상소실，경활동정상，효과우량。결론흉쇄유돌기쌍겁송해술，연합술후침합조대견인、패대흉경연합지구，시치료선천성기성사경술후복발병례적유효방법。
Objective To summarize the experiences in treating postoperative recurrence of congenital muscular torticollis in 29 cases. Methods A retrospective analysis of the clinical and follow-up data of 29 postoperative recurrence cases of congenital muscular torticollis from January 1998 to January 2013 were carried out. All the patients were treated with bipolar release of sternocleidomastoid muscle, postoperative occipital-jaw traction for 1 month, and wearing of chest-neck brace for 3-6 months. Results Long-term follow-up (11 months to 10 years) were obtained for all cases. The skew neck symptoms disappeared in most of the patients and neck activity was not significantly limited. The clinical effect was apparent. Conclusion Bipolar release of sternocleidomastoid muscle combined with postoperative occipital-jaw traction and wearing of chest-neck brace is a more effective treatment for postoperative recurrence cases of congenital muscular torticollis.