高频彩色多普勒超声在婴幼儿先天性肌性斜颈中的诊断价值 |
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引用本文: | 张建勇,孙友胜,盛剑,经朝龙. 高频彩色多普勒超声在婴幼儿先天性肌性斜颈中的诊断价值[J]. 医学临床研究, 2014, 0(12): 2379-2381 |
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作者姓名: | 张建勇 孙友胜 盛剑 经朝龙 |
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作者单位: | 江苏省扬州市中医院,江苏 扬州,225000 |
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摘 要: | 目的探讨高频彩色多普勒超声在婴幼儿先天性肌性斜颈(CMT)中的诊断价值。方法回顾性分析26例CMT患儿声像图特征。结果26例CMT患儿中病变发生在右侧胸锁乳突肌的14例,占53.8%,左侧12例,占46.2%。根据病变胸锁乳突肌超声声像图表现分为三型。①肿块型:5例(19.2%),均呈不均匀低回声,肌纹理均不清晰,与正常肌肉组织之间有界限;②局部增厚型:13例(50%),呈稍低回声12例,不均匀低回声1例,肌纹理均清晰,与正常肌肉组织相延续;③弥漫型:8例(30.8%),回声无明显特殊改变,肌纹理均清晰,但其厚度与健侧相比有显著差异性。结论高频彩色多普勒超声在婴幼儿C MT早期诊断中有重要价值。
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关 键 词: | 超声检查,多普勒,彩色 斜颈/超声检查 斜颈/先天性 回顾性研究 |
Value of High-frequency Color Doppler Ultrasonography in the Diagnosis of Congenital Muscular Torticollis in Infants |
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Affiliation: | ZHANG Jian-yong, SUN You-sheng, Sheng jian,et al ( Department of Ultrasound, TCM Hospital of Yangzhou City, Jiangsu 225000, China ) |
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Abstract: | Obj ective]To evaluate the value of high-frequency color Doppler ultrasonography in the diagnosis of infants with congenital muscular torticollis(CMT).[Methods]The sonographic characteristics of 3 6 pediatric patients were analyzed retrospectively.[Results]Among 26 pediatric patients with CMT,14 patients had the le-sions on right sternocleidomastoid(53.8%),and 12 patients had the lesions on left sternocleidomastoid(46.2%). According to the manifestations of ultrasonic images of the diseased sternocleidomastoid(53.8%),all patients were divided into 3 types.The 5 patients were lump type(19.2%)with uneven low echo,unclear muscle texture and boundary to normal muscle tissue.The 13 patients were local thicken type(50%)in which 12 patients were slight low echo and 1 patient was uneven low echo,clear muscle texture and connection to normal muscle tissue. The 8 patients were diffuse type(30.8%)without obvious change,but with clear muscle texture and the signifi-cant difference in the thickness between the diseased side and uninjured side.[Conclusion]High-frequency color Doppler ultrasonography has important value in the early diagnosis of infants with CMT. |
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Keywords: | Ultrasonography,Doppler,Color Torticollis/US Torticollis/CN Retrospective Studies |
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