[内镜下经腋窝手术治疗先天性肌性斜颈]
[Endoscopic transaxillary surgery for congenital muscular torticollis].
作者信息
Zichun Gu, Hua Li, Ying Hu, Li Chen
出版信息
Zhonghua Zheng Xing Wai Ke Za Zhi. 2015 Jul;31(4):281-4.
OBJECTIVE
To investigate a new endoscopic transaxillary technique for release of the sternocleidomastoid (SCM) in congenital muscular torticollis (CMT).
METHODS
From May 2008 to March 2014, a total of 25 cases (male 7 and female 18), ranging in age from 14 to 31 years (mean age, 17.6 years), were operated for torticollis by endoscopic-assisted surgery. The sternal and clavicular attachments of the sternocleidomastoid were released by skin lift approach.
RESULTS
The primary healing was achieved in all the 25 cases with no injury of major vessels or nerves. The patients were followed up for 6 months with satisfactory result and invisible scar.
CONCLUSIONS
The subcutaneous endoscopic transaxillary and skin lift approach for the CMT provides good functional and cosmetic outcomes.
目的
探讨一种用于先天性肌性斜颈（CMT）中松解胸锁乳突肌（SCM）的新型内镜经腋窝技术。
方法
2008年5月至2014年3月，共有25例（男性7例，女性18例）年龄在14至31岁（平均年龄17.6岁）的患者接受了内镜辅助手术治疗斜颈。通过皮肤提升法松解胸锁乳突肌的胸骨和锁骨附着点。
结果
25例患者均实现一期愈合，无大血管或神经损伤。对患者进行了6个月的随访，结果满意，瘢痕不可见。
结论
皮下内镜经腋窝及皮肤提升法治疗CMT可提供良好的功能和美容效果。
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