大于7岁儿童肌性斜颈的手术疗效

The effect of surgical treatment of muscular torticollis > 7 years old

目的：观察大年龄儿童肌性斜颈的手术疗效。方法：手术治疗肌性斜颈患儿49例，对大年龄患儿部分切除胸锁乳突肌远端。对22例手术时年龄＞7岁（平均11岁8个月）者随访1年以上（平均3年4个月）。结果：所有患儿的功能和外观均有改善，但有些病儿后遗脊柱侧凸畸形，尤其是女孩。结论：大年龄儿童尤其女孩可继发脊柱畸形。

Objcctive: To observe the cffect of surgical treatment of muscular torticollis > 7years old. Methods: 49 patients with muscular torticollis were treated surgically in our hospital. Wepartially resected the distal portion of the sternocleidomastoid muscle in older children. Twenty-twopatients who at surgery were >7 years of age (average 1l years 8 months) were followed for > 1year (average 3 years 4 months). Results: Although both function and cosmesis were improved inall cascs, scoliosis was a residual deformity in some cases, especially in girls. Conclusion: Olderchildren especially girls have a tendency to develop scoiosis.