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1993年1月~1998年9月,治疗8~14岁儿童先天性肌性斜颈11例。手术方法:于乳突处切断胸锁乳突肌止点腱,再切断并部分切除锁骨头、“Z”形切断胸骨头,松解挛缩组织后于矫正过枉位、缝合延长胸骨头。手术前后均作牵引。结果:11例均获随访,平均随访2年6个月,其中优8例,良3例。结论:胸锁乳突肌双极松解、肌腱延长术矫正畸形彻底,保持了胸锁乳突肌正常轮廓和颈部“V”形外观,是治疗大龄肌性斜颈较好的方法。
From January 1993 to September 1998, 11 cases of congenital muscular torticollis were treated in children aged 8-14 years. Surgical methods: at the mastoid cut off sternomastoid mastoid muscle tendon, and then cut off and partial removal of the clavicle, “Z” shape cut off the sternal head, release contracture after the overcorrection position, suture extended sternal head. Before and after surgery for traction. Results: All the 11 cases were followed up for an average of 2 years and 6 months, of which 8 were excellent and 3 were good. CONCLUSIONS: The sternocleidomastoid muscle is bipolar relaxed and the tendon lengthening is used to correct the deformity completely. It maintains the normal contour of the sternocleidomastoid muscle and the “V” shaped appearance of the neck. It is a good method to treat the aged muscular torticollis.