高频超声在小儿先天性肌性斜颈诊断中的价值分析

The value of high frequency ultrasound in the diagnosis of congenital muscular torticollis in children

目的:探究高频超声在小儿先天性肌性斜颈诊断中的价值。方法:2017年5月-2019年6月收治先天性肌性斜颈患儿30例,均进行高频超声检查,观察影像学表现。结果:高频超声检查显示,患侧胸锁乳突肌上、中、下段厚度均大于健侧,差异有统计学意义(P<0.05);患侧内部血流较差、肿块形态多为不规则状、不完整包膜,胸锁乳突肌不均匀回声、肌肉纹理回声杂乱,而健侧与之相反,差异有统计学意义(P<0.05)。结论:高频超声应用于先天性肌性斜颈诊断效果显著,可清晰观察病理特征,尤其在内部肿块中具有较高应用价值。

Objective:To explore the value of high frequency ultrasound in the diagnosis of congenital muscular torticollis in children.Methods:From May 2017 to June 2019,30 children with congenital muscular torticollis were selected.They were all examined by high-frequency ultrasound.We observed the imaging performance.Results:High frequency ultrasound showed that the thickness of the upper,middle and lower segments of sternocleidomastoid muscle in the affected side was greater than that in the healthy side,the difference was statistically significant(P<0.05).On the affected side,the internal blood flow was poor,the mass shape was irregular and incomplete capsule,the echo of sternocleidomastoid muscle was uneven and the echo of muscle texture was disordered,the healthy side was the opposite,the difference was statistically significant(P<0.05).Conclusion:The value of high frequency ultrasound in the diagnosis of congenital muscular torticollis is significant,it can clearly observe the pathological characteristic rate,especially in the internal mass,it has high application value.