痉挛性斜颈的临床分型与外科术式选择(附645例临床分析)

目的 探讨痉挛性斜颈(ST)的临床分型和外科术式选择间的关系.方法 回顾分析645例ST患者的临床资料,根据痉挛姿态分成不同类型.针对ST的不同类型,外科治疗采用不同术式.结果 术后6个月评定疗效并随访1～3年,痊愈434例占67.2%,显效117例占18.2%,进步72例占11.2%,无效22例占3.4%.结论 痉挛性斜颈的外科治疗应根据其不同类型采用不同术式,才能做到安全、有效、创伤小.

Clinical types and surgical treatment for spasmodic torticollis

Objective To study the relationship between the clinical types and surgical treatments for spasmodic torticollis (ST). Methods The Clinical data of 645 cases of ST were retrospectively analyzed. According to the ST types, different surgical procedures were selected. Six months after operation, the curative effectiveness was assessed and all patients were followed up for 1-3 years. Results The results revealed that 67.2% of the patients recovered completely, 18.2% partially, and 11.2% improved markedly. Conclusion The surgical treatments for ST must be decided according to the clinical types in order to be safe, effective and helpful to reduce operative injury.