Abstract
目的 探讨先天性肌性斜颈两种手术治疗的方法和效果. 方法回顾性分析86例先天性肌性斜颈患者,其中12岁以内者69例,12岁及大于12岁者17例,根据年龄及畸形严重程度的不同采用不同的治疗术式:胸锁乳突肌下端切断术和胸锁乳突肌上、下端切断术加术后牵引治疗. 结果本组86例中随访72例,随访时间1～7年,平均4.5年.从功能和外观两方面进行了术后评价:12岁以下57例,其中优52例(91.2%),良5例(8.8%),无劣级;12岁及大于12岁15例,其中优11例(73.3%),良4例(26.7%),无劣级.结论对先天性肌性斜颈患者,应根据不同情况选择恰当的手术治疗术式,一般均可获得满意的效果。
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