《中国康复理论与实践》

《中国康复理论与实践》 ›› 2001, Vol. 7 ›› Issue (04): 175-176.

• 临床康复 • 上一篇    下一篇

先天性肌性斜颈的综合康复治疗

雷宇; 刘宝富; 王永禄   

  1. 北京大学第一医院小儿外科 北京市 100034
  • 收稿日期:2001-08-15 出版日期:2001-12-25 发布日期:2001-12-25

Synthetic rehabilitation treatment of congenital muscular torticollis

LEI Yu, LIU Bao-fu, WANG Yong-lu   

  1. Department of Pediatric Surgery, the First Hospital, Beijing University, Beijing 100034, China
  • Received:2001-08-15 Published:2001-12-25 Online:2001-12-25

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摘要： 目的探讨先天性肌性斜颈患儿开始治疗时的年龄与不同的治疗方法对其预后的影响。方法 138例不同年龄的先天性肌性斜颈患儿采用手法牵伸按摩及手术治疗,对患儿的年龄、治疗方法及取得的疗效进行总结。结果82例采用手法牵伸按摩治疗者,71例开始治疗的年龄小于1岁,随访49例均取得满意疗效,11例大于1岁者中有7例因疗效不满意而行手术治疗。63例手术治疗者,56例随访1年以上,47例疗效优和一般,9例疗效差。结论先天性肌性斜颈一经确诊应尽早治疗,1岁以内手法牵伸按摩治疗疗效满意;大于1岁应予手术,术后辅以手法牵伸治疗。最佳手术年龄为1—5岁。

关键词: 斜颈, 预后, 肌疾病

Abstract: ObjectiveTo investigate the relationship between the prognosis and both of treatment way and curative age of congenital muscular torticollis.Methods138 children accepted conservative and/or operative treatment according to different ages.A prospective study had been made. ResultsConservative treatment was given to 82 children,71 of them were <1-year-old. 49 of them were follwed up and had satisfactory outcome.7 patients who was >1-year-old had operations later because of asymmetry of head.63 children received operations.56 of them were followed up over one year,47 cases had good-looking,the outcome of other 9 was not satisfied.Conclusions Operative intervention was necessary for >1-year-old patients. Manipulation was suitable way to cure <1-year-old patients.It was the best operating time at the age of 1-5 years old.

Key words: torticollis, prognosis, muscle diseases