在这项研究中,单极子宫肌瘤切除术用于解决小儿颈部活动受限和肌肉紧张的问题,青春期,成人患者。对2006年1月至2023年2月被诊断为先天性肌性斜颈并接受单极子宫肌瘤切除术的患者进行了回顾性图表回顾。结果评估,改编自Cheng和Tang系统-颈下颌角(CMA),面部不对称,颅骨不对称,倾斜限制(TL),旋转限制(RL),主观评价,和残余挛缩-包括得分从0到3分的各种参数,并归类为差,公平,不错,或优秀。总的来说,分析了36例患者(21例男性和15例女性)的数据。参与者的年龄为0.8-38岁。手术改善了CMA,RL,和TL,无并发症(12.2°-1.2°,18.6°-5.2°,CMA为17.6°-6.5°,RL,和TL,分别为;p<0.001)。不同年龄组的平均总评分具有可比性(儿科为2.8±0.5,2.2±0.62和2.1±0.37,青春期,和成人团体,分别)。在这项研究的局限性内,单极子宫肌瘤切除术似乎是一种有希望的,多年龄组个体的有效手术选择。
In this
study, unipolar myomectomy was used to address limited neck movement and tight muscles in pediatric, adolescent, and adult patients. A retrospective chart review was performed for patients from January 2006 to February 2023, who were diagnosed with congenital muscular torticollis and underwent a unipolar myomectomy. Outcome evaluation, adapted from the Cheng and Tang system - cervicomandibular angle (CMA), facial asymmetry, cranial asymmetry, tilting limitation (TL), rotation limitation (RL), subjective assessment, and residual contracture - included various parameters scored from 0 to 3 points and categorized as poor, fair, good, or excellent. In total, the data for 36 patients (21 males and 15 females) were analyzed. Participants were aged 0.8-38 years. Surgery improved CMA, RL, and TL, with no complications (12.2°-1.2°, 18.6°-5.2°, and 17.6°-6.5° for CMA, RL, and TL, respectively; p < 0.001). The mean overall score was comparable among different age groups (2.8 ± 0.5, 2.2 ± 0.62, and 2.1 ± 0.37 for the pediatric, adolescent, and adult groups, respectively). Within the limitations of the
study it seems that unipolar myomectomy is a promising, effective surgical option for individuals of multiple age groups.