超声在先天性肌性斜颈诊断及推拿治疗疗效评估中的应用

Ultrasound imaging in the diagnosis and curative effect evaluation for congenital muscular torticollis

目的:探讨超声在先天性肌性斜颈诊断及推拿疗效评估中的应用价值。方法:35例先天性肌性斜颈患儿,其中男27例,女8例;年龄10d^14个月,平均(4.70±4.29)个月;根据超声表现分为四型。患儿年龄与分型之间的相关性分析使用Pearson检验;治疗前后,胸锁乳突肌厚度比率比较使用配对t检验。结果:不同分型阶段,超声表现各具特征性;患儿年龄与超声分型之间相关性分析:相关系数0.482,P=0.003<0.05;治疗前后患侧胸锁乳突肌与健侧比例分别为2.10±0.55、1.40±0.33,两者之间差异有统计学意义(t=6.689,P=0.000)。结论:先天性肌性斜颈超声表现具有特征性,有助于临床诊断及疗效评估。

Objective： To investigate the clinical value of ultrasound in diagnosis and curative effect evaluation for congenital muscular torticollis （CMT）. Methods： 35 cases of congenital muscular torticollis in children （male/female 27/8,10 days to 14 months,with an average 4：. 70±4. 29 months） accepted ultrasonography examination. All cases were divided into four types based on ultrasonography shown. Evaluate the correlation between children aged and typing;assess the difference of the sternocleidomastoid muscle （SCM） thickness ratio,between before and after treatment. Results：There was statistically significant correlation between the age and type of ultrasonic：the correlation coefficient 0. 482, P= 0. 003. Before and after treatment, the SCM thickness ratio was 2.10 ± 0.55 and 1.40 ± 0.33 respectively. There was a significant difference between the two sets of data compare （t= 6. 689, P= 0. 000）. Conclusion： Utrasound imaaging has advantages in diagnosis and curative effect evaluation.