CAJ | 학술논문

目的探讨儿童先天性肌性斜颈(CMT)单切口手术治疗的疗效.方法选2002年7月至2011年3月CMT患儿176例,年龄10个月～15岁,中位年龄4.8岁.右侧112例,左侧64例.所有患儿均行单切口胸锁乳突肌起点锁骨头及胸骨头松解,术后早期功能锻炼同时结合枕颌牵引.佩戴颈托或支具保持颈部在矫枉过正姿势.结果术后随访1～7.5年,中位随访时间为4.2年.所有患儿术后外观及颈部活动受限明显改善,斜视和面部发育异常逐步近于正常,优良率达96.0％ (169/176).结论 CMT患儿无论年龄大小,只要严格掌握手术适应证,采用单切口手术治疗配合术后积极的康复锻炼可获得满意的疗效.
목적 탐토인동선천성기성사경(CMT)단절구수술치료적료효.방법 선2002년7월지2011년3월CMT환인176례,년령10개월～15세,중위년령4.8세.우측112례,좌측64례.소유환인균행단절구흉쇄유돌기기점쇄골두급흉골두송해,술후조기공능단련동시결합침합견인.패대경탁혹지구보지경부재교왕과정자세.결과 술후수방1～7.5년,중위수방시간위4.2년.소유환인술후외관급경부활동수한명현개선,사시화면부발육이상축보근우정상,우량솔체96.0％ (169/176).결론 CMT환인무론년령대소,지요엄격장악수술괄응증,채용단절구수술치료배합술후적겁적강복단련가획득만의적료효.
Objective To explore the effect of single-incision treatment for children with congenital muscular torticollis.Methods From July 2002 to March 2011,176 children with congenital muscular torticollis (ages from 10 months to 15 years old,an average of 4.8 years) were selected.All patients underwent singleincision release on the clavicular head and sternal head of sternocleidomastoid,and took postoperative functional exercise early and received the pillow jaw traction at the same time.All children wore a neck collar or brace to keep the neck in an overkill posture.Results The patients were followed up from 1.0 to 7.5 years with an average of 4.2 years.The postoperative appearance and the neck activity were improved significantly; strabismus and facial developmental abnormalities gradually got back to normal with a good rate of 96.0％ (169/176).Conclusion For the children with congenital muscular torticollis,the use of single-incision surgery and postoperative active rehabilitation exercises would achieve good outcomes.