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目的:研究分析婴幼儿先天性肌性斜颈的临床分型与保守治疗效果之间的关系,为临床治疗提供参考。方法:将符合纳入标准的患儿按照初次治疗时的临床表现分为肿块型Ⅰ型、肿块型Ⅱ型、条索型、骨化型4组,采用手法牵伸及推揉法结合音频电疗法。结果:总体治愈率达到87.50%;肿块型Ⅰ型疗效最好,治愈率达到100%;其次为条索型,治愈率为90.91%;再次是肿块型Ⅱ型,治愈率为88.57%;效果最差为骨化型,治愈率只有33.33%;各组疗效差异有非常显著性意义(P<0.01)。结论:对符合先天性肌性斜颈诊断标准且全身情况良好的患儿应早期进行保守康复治疗;临床上对肿块型Ⅰ型患儿应全部收治,对肿块型Ⅱ型、条索型且年龄小于6月患儿应尽可能收治,对骨化型患儿则可以依据家庭条件对患儿家属进行家庭指导训练及定期随访。
Objective: To study the relationship between the clinical classification of infantile congenital muscular torticollis and the effect of conservative treatment, and to provide a reference for clinical treatment. Methods: The children who met the inclusion criteria were divided into four groups according to the clinical manifestations of initial treatment: type Ⅰ mass, mass type Ⅱ, cord type and ossification type 4, using the method of drafting and pushing kneading combined with electro-acoustic therapy . Results: The overall curative rate reached 87.50%. The curative effect of type Ⅰ was the best, and the cure rate was 100%. The second one was cord-type, the cure rate was 90.91%. The second one was type Ⅱ. The curative rate was 88.57% Poor as ossification, the cure rate was only 33.33%; the difference between the efficacy of each group has a very significant (P <0.01). Conclusion: Congenital muscular torticollis diagnostic criteria consistent with good general condition in children should be conservative treatment of early rehabilitation; clinically on the lump type Ⅰ children should be treated, the lump type Ⅱ, cords and age Children less than 6 months should be treated as much as possible, while children with ossification can family based on family conditions for family counseling and regular follow-up.