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頁籤選單縮合
題名 | Torticollis: A Long-term Follow-up Study=斜頸病人之長期追踪結果 |
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作者姓名(中文) | 張北葉; 譚成娟; 黃憶芬; 許錦城; 王念陸; 葉明倫; 陳秋江; | 書刊名 | 中華民國小兒科醫學會雜誌 |
卷期 | 37:3 民85.05-06 |
頁次 | 頁173-177 |
分類號 | 417.6264 |
關鍵詞 | 斜頸; 新生兒; Torticollis; Long-term follow-up; Plagiocephaly; |
語文 | 英文(English) |
中文摘要 | 過去23年(1971~1993),在馬階醫院有619位元斜頸病人接受物理治療,另有300位病人施行手術治療。長期追蹤檢查其中235位病例發現頸部活動範圍尚能令人滿意,但是頭部變型及臉部半邊輕微萎縮則佔過半數病例。這種解剖構造的改變與出生後顱顔部骨骼柔軟,容易因睡姿不良而變型有關。這種改變不因病人成長發育而癒,均持續至成人仍保持其特殊形狀。1歲以內評斷保守治療成功的幼兒,長大後仍有10.9%須手術治療;手術治療的病例中也有7%未能完成解決過緊的纖維化肌肉。因此斜頸病人初期治療成功的病例仍須每年追蹤檢查,以免遺漏未瑧完善的病例。 |
英文摘要 | To achieve better guidelines for the future management of torticollis, this study analyzed surgical and nonsurgical management of 253 torticollis patients who were treated in this hospital from 1971 to 1993. Of those, 37 cases received operation only, 78 cases were operated after failed phyiscal therapy, and 138 cases were treated only at the Rehabilitation Department. If free neck movement was considered to be the primary goal of treatment, most parents were satisfied with the results. However, if facial and skull deformities were the serious sequelae of torticollis, then only less than half of the surgical and nonsurgical groups of patients were graded as normal. Further, 10.9% of physical therapy group and 7% of the surgical patients need further operation to release the fibrotic bundle which limited their neck movement. Therefore, it is suggested that torticollis treatment should include early interventions such as adjusting sleep position, careful planning of physical therapy and/or operation and a long term follow-up period as essential for better management of torticollis. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。