超声在婴幼儿先天性肌性斜颈诊疗中的应用价值

Value of ultrasonography in diagnosis and treatment of congenital muscular torticollis in infants and toddles

目的探讨超声在婴幼儿先天性肌性斜颈(CMT)诊疗中的应用价值。方法超声观测46例CMT婴幼儿胸锁乳突肌声像图特征并分型,超声随访评估患儿做被动伸展运动治疗的效果。结果患侧胸锁乳突肌肿块型18例,弥漫型28例;肌肉纤维化Ⅰ型18例,Ⅱ型23例,Ⅲ型5例。治愈44例(95%),2例未治愈者为幼儿,超声显示其肌肉病变弥漫型且纤维化严重(Ⅲ型)。结论超声对婴幼儿CMT具有能早期诊断、准确、安全和易操作的优点,对临床选择治疗方案和观察疗效均具有指导意义。

Objective To investigate the value of ultrasonography in diagnosis and treatment of congenital muscular torticollis（CMT）in infants and toddles. Methods The characteristics of CMT in 46 patients were assessed by ultrasound. The efferct of passive stretching exercises（PSE） treatment was followed-up by ultrasound at regular intervals. Results There were18 cases of mass type and 28 cases of diffuse type. Muscle fibrosis was found in the patients, including 18 cases in type Ⅰ,23 cases in type Ⅱ, 5 cases in type Ⅲ. Forty-four patients（95%） were successfully treated. Two toddles with severe diffuse fibrosis in the muscles were not successfully treated. Conclusion Ultrasonic diagnosis of CMT is accurate,safe and easy to operate, it can be used to guide the treatment selection and efficacy observation.