CAJ | 학술논문

目的：探讨彩色多普勒超声对康复治疗小儿先天性肌性斜颈的动态效果评价。方法：选取笔者所在医院2013年2月-2014年8月收治的46例临床确诊为先天性肌性斜颈的患儿，经Mckenzie(麦肯基)力学技术联合平衡推拿系统综合康复治疗，在治疗前、中、后期进行超声检查跟踪随访，对其效果做出动态评价。结果：本组46例患儿中，治愈37例，好转9例，无效0例，有效率100%；彩色多普勒超声显示在治疗的前、中、后期，病变区域肌肉回声有均质化趋势。治疗后的肿块厚度(7.8±1.3)mm明显小于治疗前的(12.5±2.4)mm，差异有统计学意义(字2=11.6788， P=0.0000)，治疗后的胸锁乳突肌挛缩长度(6.3±1.7)mm明显短于(12.4±2.2)mm，差异有统计学意义(字2=14.8806，P=0.0000)。结论：彩色多普勒超声可反映先天性肌性斜颈患儿在康复治疗过程中的消退情况和病变转归过程，能对患儿病情做出客观评估，可作为治疗效果动态评价的可靠依据。
목적：탐토채색다보륵초성대강복치료소인선천성기성사경적동태효과평개。방법：선취필자소재의원2013년2월-2014년8월수치적46례림상학진위선천성기성사경적환인，경Mckenzie(맥긍기)역학기술연합평형추나계통종합강복치료，재치료전、중、후기진행초성검사근종수방，대기효과주출동태평개。결과：본조46례환인중，치유37례，호전9례，무효0례，유효솔100%；채색다보륵초성현시재치료적전、중、후기，병변구역기육회성유균질화추세。치료후적종괴후도(7.8±1.3)mm명현소우치료전적(12.5±2.4)mm，차이유통계학의의(자2=11.6788， P=0.0000)，치료후적흉쇄유돌기련축장도(6.3±1.7)mm명현단우(12.4±2.2)mm，차이유통계학의의(자2=14.8806，P=0.0000)。결론：채색다보륵초성가반영선천성기성사경환인재강복치료과정중적소퇴정황화병변전귀과정，능대환인병정주출객관평고，가작위치료효과동태평개적가고의거。
Objective:To investigate the dynamic effect evaluation of color Doppler ultrasonography in the rehabilitation treatment of children with congenital muscular torticollis.Method:46 children who clinically diagnosed as congenital muscular torticollis in our hospital from February 2013 to August 2014 were selected,they were given Mckenzie mechanics technology combined with balance massage system comprehensive rehabilitation treatment,ultrasound examinations follow-up were performed in the treatment of front,middle and late,the effect was dynamically evaluated.Result:In the group of 46 children,37 cases cured,9 cases were improved,no invalid cases,the effective rate was 100%.Color Doppler ultrasonography in the treatment of front,middle and late,lesion muscles had a trend of homogenization of the echo.The tumor thickness after treatment was (7.8±1.3)mm,it was significantly less than (12.5±2.4)mm of before treatment,the difference was statistically significant(χ2=11.6788,P=0.0000).The contracture sternocleidomastoid muscle length after treatment was (6.3±1.7)mm,it was significantly shorter than (12.4±2.2)mm of before treatment,the difference was statistically significant(χ2=14.8806,P=0.0000).Conclusion:Color Doppler ultrasonography can reflect the children with congenital muscular torticollis in rehabilitation fading condition and pathological changes in the process of evolution, can make objective evaluation to cases,can be used as a reliable basis for the treatment of effect evaluation.