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題 名 | 臨床上診斷為姿勢性斜頸症嬰兒之超音波影像=Ultrasonographic Pictures of the Babies Who Were Clinically Diagnosed as Postural Wry Neck |
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作 者 | 姜義彬; 楊百嘉; | 書刊名 | 復健醫學會雜誌 |
卷 期 | 28:1 2000.03[民89.03] |
頁 次 | 頁29-35 |
分類號 | 417.6262 |
關鍵詞 | 斜頸症; 超音波; 胸鎖乳突肌; Wry neck; Ultrasonography; Sternocleidomastoid muscle; |
語 文 | 中文(Chinese) |
中文摘要 | 本研究針對134名臨床上診斷為姿勢性斜頸症之嬰兒,進行兩側胸鎖乳突肌之超音波檢查。結果發現在134名嬰兒中,有3名(2.2%)嬰兒之一側胸鎖乳突肌有明顯之肌肉變性,應診斷為肌肉性斜頸症。其餘131名嬰兒中,116名(88.6%)之兩側胸鎖乳突肌無明顯之差異性,頭部傾斜之方向亦與胸鎖乳突肌之厚度無關,顯見這些嬰兒的斜頸症原因與其胸鎖乳突肌無關;15名(11.2%)嬰兒之一側胸鎖乳突肌相較於對側有輕度肥大現象,且其頭部傾斜之方向大多(80%)與輕度肥大之胸鎖乳突肌同側。輕度肥大之原因尚未確定,是否因其中確有輕微之肌肉狀態改變,或是因為人為之操作誤差,尚待深入探討。由本研究可知,經由超音波影像證實,臨床上診斷姿勢性斜頸症有相當高的正確性;利用超音波診斷胸鎖乳突肌是否有變性時,應以肌肉本身之回音性表現及以肌肉之厚度為主要的研究依據。此外,超音波檢查有助於確定診斷姿勢性斜頸症,並可減低門診時診斷肌肉性斜頸症之偽陰率。 |
英文摘要 | One hundred and thirty-four babies who were clinically diagnosed with postural wry neck were enrolled in this study. All of them received sonographic examination of both sternocleidomastoid muscles with a 7.5 MHz linear array transducer connected to the Acuson 128 10M ultrasonographic machine. Three (2.2%) of the 134 babies were noted to have echogenic changes in one of their sternocleidomastoid muscles, and were diagnosed as having muscular type torticollis. Among the other 131 babies, 116(88.6%) babies showed no difference between bilateral SCM muscles. The direction of the head tilt was not related to the thickness of the muscle, which indicated that the cause of they wry neck in these babies was not related to the SCM muscle itself. Fifteen (11.2%) babies revealed mild hypertrophy on one side, and the majority (80%) of these babies tilted their head in the direction of the hypertrophic muscle. The cause of the mild hypertrophy was not determined in this study. Whether the minimal muscle change or the hypertrophy was due to the result of operative error is worth further investigation. We concluded that, when evaluating the SCM muscle with ultrasonography, the echogenecity of the muscle is the most important finding, and the muscle thickness is also a helpful parameter. Ultrasonography is also useful to confirm the diagnosis of postural wry neck, and it helps to reduce the false negative rate of detecting the muscular type torticollis. |
本系統中英文摘要資訊取自各篇刊載內容。