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肌性斜颈。一种改良手术入路。

Muscular torticollis. A modified surgical approach.

作者信息

Ferkel R D, Westin G W, Dawson E G, Oppenheim W L

出版信息

J Bone Joint Surg Am. 1983 Sep;65(7):894-900.

PMID:6885869
Abstract

Since 1967 twelve children with muscular torticollis were treated at the Los Angeles Shriners Hospital for Crippled Children with a modified bipolar release of the sternocleidomastoid muscle. The results of the procedure were compared with the results in twenty-two other patients who had had either conservative treatment or other types of operations and who were seen between 1952 and 1981. The average follow-up was nine years (range, one to thirty-three years). Fourteen patients, most of them less than one year old, were treated non-operatively and had 86 per cent good or excellent results. The bipolar release and z-plasty was performed either when conservative treatment had failed or in older children who had had other operations, and it yielded 92 per cent good or excellent results. Only 15 per cent good and 77 per cent fair results were obtained when surgical procedures other than bipolar release were performed.

摘要

自1967年以来,洛杉矶施莱宁儿童医院对12例患有肌性斜颈的儿童采用改良的胸锁乳突肌双极松解术进行治疗。将该手术的结果与另外22例在1952年至1981年间接受过保守治疗或其他类型手术的患者的结果进行了比较。平均随访时间为9年(范围为1至33年)。14例患者(大多数年龄小于1岁)接受了非手术治疗,其中86%的患者效果良好或极佳。当保守治疗失败或年龄较大的儿童接受过其他手术时,采用双极松解术和Z成形术,其效果良好或极佳的比例为92%。当进行除双极松解术以外的其他外科手术时,仅15%的患者效果良好,77%的患者效果一般。

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