胸锁乳突肌延长术治疗斜颈的应用解剖与临床疗效

The Anatomy and Clinical Effect of Sternocleidomastoid Muscle Lengthening on the Treatment of Torticollis

目的:为提高先天性斜颈的临床疗效进行相关的解剖学研究以及临床上三种手术方式的效果评价;方法:对28具成人尸体的49例(侧)胸锁乳突肌及其周边结构进行应用解剖研究。临床治疗先天性肌性斜颈278例,其中行胸锁乳突肌切断术92例,胸锁乳突肌延长术154例,胸锁乳突肌单头延长术32例;结果:胸锁乳突肌两头可分离的长度为:109.0±29.9mm,占胸锁乳突肌前缘长189.4±14.6mm的56.8％,对于轻、中度或较重度的斜颈患者,其两头可分离的长度都可足够进行胸锁乳突肌延长术,与其他两种术式相比,胸锁乳突肌延长术治疗肌性斜颈可行且疗效好;结论:胸锁乳突肌延长术可以作为治疗肌性斜颈的一种良好术式。

Objective:The anatomical research and clinical effect assessment of three operative methods were proceeded in order to improve the therapeutic efficacy in treating congenital muscular torticollis. Methods: Forty - ninie sides of sternocleidomastoid muscle and surrounding structures of twenty - eight adult corpuses were studied.278 patiens who suffered from torticollis were anatomically studied too. One hundred and fifty - four patiens were treated with sternocleidomastoid muscle lengthening, ninety - two patiens had sternocleidomastoid muscle amputation and the other thirty - two patiens underwent sternocleidomastoid muscle one -head lengthening.Results:The splitting interval between the sternal head and clavicular head was 109.0± 29.9mm and accounted for 56.8% of the frontal length of sternocleidomastoid muscle which was long enough for sternocleidomastoid muscle lengthening operations on all grades of torticollis. Conclusion: Compared with the other two operative methods, sternocleidomastoid muscle lengthening is an effective and new way of treating congenital muscular torticollis.