Zhong Meiling,Chong Qingqing,Chen Dan.Treatment effect of local mass massage to children with congenital muscular torticollis[J].Journal of Clinical Pediatric Surgery,,19():1113-1117.[doi:10.3969/j.issn.1671-6353.2020.12.010]
Treatment effect of local mass massage to children with congenital muscular torticollis
- Keywords:
- Torticollis/CN; Torticollis/TH; Treatment Outcome
- CLC:
- R726.8;R682.1+2
- Abstract:
- Objective To compare the clinical efficacy of conservative treatment for local mass massage in children with congenital muscular torticollis (CMT) so as to develop a standardized conservative treatment.Methods From January 2017 to June 2018,a total of 242 hospitalized CMT children were selected and randomly divided into two groups of local mass massage (n=118) and non-local mass massage (n=124).The ultrasonic size of neck was recorded at an age of 3 months.The proportion of disappearance of mass in neck at an age of 6 and 9 months was compared between two groups.The ratio with an indication for sternocleidomastoid muscle release surgery at an age of 18 months was compared between two groups.Results At 6 months of age,neck mass disappeared (n=49,49/118) in local mass massage group versus (n=95,95/124) in non-local mass massage group (χ2=30.891,P<0.001);at an age of 9 months,neck mass disappeared (n=49,102/118) in local mass massage group versus (n=95,123/124) in non-local mass massage group (χ2=13.167,P<0.001);at an age of 18 months,38 cases required surgery in non-local mass massage group versus 69 cases in local mass massage group (χ2=18.895,P<0.001).Conclusion Local mass massage for CMT children during conservative treatment delays the time of mass spontaneous regression,lowers the rate of self-healing and boosted the proportion of surgery.
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Memo
收稿日期:2020-02-05。
作者简介:钟美玲,Email:meilingzhong66@163.com