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双极松解术矫治4岁以上儿童先天性肌性斜颈

Surgical correction of congenital muscular torticollis in children over 4 years old with bipolar release

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【作者】 蔡斌陈博昌王志刚蔡海青杨杰徐蕴岚李玉婵

【Author】 Bin Cai,Bo- Chang Chen,Zhi- Gang Wang,Hai - Qing Cai,Jie Yang,Yun- Lan Xu,Yu- Chan Li Bin Cai,Bo- Chang Chen,Zhi- Gang Wang,Hai- Qing Cai,Jie Yang, Yun- Lan Xu ,Yu- Chan Li,Department of Orthopaedics,Shanghai Children Medical Center,Xinhua Affiliated Hospital, Shanghai Second Medical University,Shanghai 200127,China

【机构】 解放军第二医科大学附属新华医院上海儿童医学中心骨科解放军第二医科大学附属新华医院上海儿童医学中心骨科 上海市200127上海市200127上海市200127

【摘要】 目的:探讨双极松解术矫治4岁以上先天性肌性斜颈患儿的疗效。方法:26例(男17例,女9例)4~14岁的患儿接受了双极松解术,术后应用颈围领1个月,同时接受康复功能锻炼3个月。术前术后参照先天性肌性斜颈评分系统评定各项功能指标,包括颈部活动、头部倾斜和面部不对称。结果:22例(85%)完全纠正了头部倾斜,23例(88%)获得了正常的颈部活动。20例(77%)仅遗留轻度面部发育不对称,仍有4例和2例分别存在中度和重度的面部不对称。结论:4岁以上儿童先天性肌性斜颈可通过双极松解术得到满意的结果,尤其在改善颈部活动和头部倾斜方面效果显著。

【Abstract】 AIM:To explore the effect of bipolar release on congenital muscular torticoll is in patients over 4 years old. METHODS:Twenty- six patients(17 males,9 females) aged from 4 to 14 years old were performed bipolar release,followed by one month of neck collar applying an d 3 months of physiotherapy.Preoperative and postoperative functional indices we re evaluated with congenital torticollis scoring system, including neck movement ,head tilt,facial asymmetry. RESULTS:The average follow- up period was 30 months,22(85% )patients had no head tilt,23(88% ) regained full range of motion of the neck,20 (77% ) had mi ld facial asymmetry,4 patients had moderate and 2 patients retained severe facia l asymmetry. CONCLUSION:Congenital muscular torticollis patients,aged over 4 years old can benefit a lot from bipolar release, especially in head tilt and range of neck m ovement.

  • 【文献出处】 中国临床康复 ,Chinese Journal of Clinical Rehabilitation , 编辑部邮箱 ,2004年03期
  • 【分类号】R726.8
  • 【被引频次】7
  • 【下载频次】92
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