Luo Hongxia, Li Tianran, Wu Senmin, Zhu Hui, Chen Kai, Ma Lie, Lin Miaomiao
Department of Ultrasound, The Second Affiliated Hospital of Wenzhou Medical University, Wenzhou 325027, China.
Department of Pediatrics, The Second Affiliated Hospital of Wenzhou Medical University, Wenzhou 325027, China.
Transl Pediatr. 2020 Feb;9(1):13-20. doi: 10.21037/tp.2020.01.05.
This study aimed to evaluate the clinical value of virtual touch tissue imaging quantification (VTIQ) in the diagnosis and treatment of congenital muscular torticollis (CMT) in children.
Sixty-two CMT children treated in the clinics of our hospital were collected, and then 62 CMT children treated with manipulation massage were followed up; 23 CMT children receiving surgery in the same period served as controls. Conventional ultrasonography and VTIQ were performed at bilateral sternocleidomastoid muscles (SCM), and the shear wave velocity (SWV) was measured.
In 62 patients and 23 controls, the average SWV of affected SCM was higher than the contralateral SCM. The difference was statistically significant (P<0.01). There was no marked difference in the SWV of between the affected SCM and healthy SCM after massage (P>0.05). The SWV of SCM after treatment was lower than before treatment. The difference was statistically significant (P<0.01). The SWV of affected SCM in 23 controls was higher than the affected SCM in 62 patients before massage. The difference was statistically significant (P<0.01).
VTIQ is helpful for the diagnosis of CMT in children and can also be employed for the monitoring of therapeutic effect.
本研究旨在评估虚拟触诊组织成像定量技术（VTIQ）在儿童先天性肌性斜颈（CMT）诊断及治疗中的临床价值。
收集我院门诊治疗的62例CMT患儿，对其中62例采用手法按摩治疗的CMT患儿进行随访；同期23例行手术治疗的CMT患儿作为对照。对双侧胸锁乳突肌（SCM）行常规超声检查及VTIQ检查，测量剪切波速度（SWV）。
62例患者及23例对照中，患侧SCM的平均SWV高于对侧SCM。差异具有统计学意义（P<0.01）。按摩后患侧SCM与健侧SCM的SWV无明显差异（P>0.05）。治疗后SCM的SWV低于治疗前。差异具有统计学意义（P<0.01）。23例对照中患侧SCM的SWV高于62例患者按摩前患侧SCM的SWV。差异具有统计学意义（P<0.01）。
VTIQ有助于儿童CMT的诊断，也可用于治疗效果的监测。
