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《Journal of Medical Research》 2020-04
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Value of VTIQ in the Diagnosis and Treatment of Congenital Muscular Torticollis in Children

Li Tianran;Luo Hongxia;Zhao Yaping;The Second Affiliated Hospital of Wenzhou Medical University;  
Objective To evaluate the clinical value of virtual touch tissue imaging quantification(VTIQ) in diagnosis of congenital muscular torticollis(CMT) in children, and to monitor the therapeutic effect of manipulation massage,and to discuss the clinical application value of this method in the selection of treatment program. Methods 62 children with CMT treated in the outpatient department of our hospital were collected, and then 62 children diagnosed with CMT treated with non-surgical manipulation massage were followed up, and 23 children with CMT treated with presurgical treatment in our hospital in the same period were collected. Conventional ultrasonic examination and VTIQ examination were performed. Results The shear wave velocity(SWV) of the sternocleidomastoid muscle in 62 patients had significant difference with the SWV of the contralateral sternocleidomastoid muscle(P0.01). The 62 patients were treated with the affected side and the healthy side. There was no significant difference in SWV between the sternocleidomastoid muscles(P0.05). There was significant difference in SWV between the sternocleidomastoid muscles before and after treatment(P0.01). There were significant differences in SWV between the affected side and the contralateral sternocleidomastoid muscle in 23 patients(P0.01). There were differences in the SWV of the sternocleidomastoid muscle between the 23 children and 62 outpatients. Statistical significance(P0.01).Conclusion VTIQ can objectively judge the soft and hard parts of the lesions, and is helpful for diagnosing children′s CMT. It has a high application value in monitoring the therapeutic effect of pediatric CMT massage massage therapy.
【Fund】: 浙江省温州市科技局科技项目(Y20170831)
【CateGory Index】: R726.8
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