CAJ | 학술논문

目的探讨高频彩色多普勒超声在婴幼儿先天性肌性斜颈(CMT)中的诊断价值。方法回顾性分析26例CMT患儿声像图特征。结果26例CMT患儿中病变发生在右侧胸锁乳突肌的14例，占53.8%，左侧12例，占46.2%。根据病变胸锁乳突肌超声声像图表现分为三型。①肿块型：5例(19.2%)，均呈不均匀低回声，肌纹理均不清晰，与正常肌肉组织之间有界限；②局部增厚型：13例(50%)，呈稍低回声12例，不均匀低回声1例，肌纹理均清晰，与正常肌肉组织相延续；③弥漫型：8例(30.8%)，回声无明显特殊改变，肌纹理均清晰，但其厚度与健侧相比有显著差异性。结论高频彩色多普勒超声在婴幼儿C MT早期诊断中有重要价值。
목적탐토고빈채색다보륵초성재영유인선천성기성사경(CMT)중적진단개치。방법회고성분석26례CMT환인성상도특정。결과26례CMT환인중병변발생재우측흉쇄유돌기적14례，점53.8%，좌측12례，점46.2%。근거병변흉쇄유돌기초성성상도표현분위삼형。①종괴형：5례(19.2%)，균정불균균저회성，기문리균불청석，여정상기육조직지간유계한；②국부증후형：13례(50%)，정초저회성12례，불균균저회성1례，기문리균청석，여정상기육조직상연속；③미만형：8례(30.8%)，회성무명현특수개변，기문리균청석，단기후도여건측상비유현저차이성。결론고빈채색다보륵초성재영유인C MT조기진단중유중요개치。
Obj ective]To evaluate the value of high-frequency color Doppler ultrasonography in the diagnosis of infants with congenital muscular torticollis(CMT).[Methods]The sonographic characteristics of 3 6 pediatric patients were analyzed retrospectively.[Results]Among 26 pediatric patients with CMT,14 patients had the le-sions on right sternocleidomastoid(53.8%),and 12 patients had the lesions on left sternocleidomastoid(46.2%). According to the manifestations of ultrasonic images of the diseased sternocleidomastoid(53.8%),all patients were divided into 3 types.The 5 patients were lump type(19.2%)with uneven low echo,unclear muscle texture and boundary to normal muscle tissue.The 13 patients were local thicken type(50%)in which 12 patients were slight low echo and 1 patient was uneven low echo,clear muscle texture and connection to normal muscle tissue. The 8 patients were diffuse type(30.8%)without obvious change,but with clear muscle texture and the signifi-cant difference in the thickness between the diseased side and uninjured side.[Conclusion]High-frequency color Doppler ultrasonography has important value in the early diagnosis of infants with CMT.