目的：寻找儿童抽动秽语综合征病因，为其治疗找到新的途径。方法：对３０例抽动秽语综合征的儿童进行了详细的病史追踪、体格检查及颈椎Ｘ线片检查。结果：３０例患儿均有头颈部外伤史，颈部体检和Ｘ线片提示有上颈段、特别是环枢关节位置异常，经手法调整治疗后，抽动秽语症状明显减轻或消失。结论：抽动秽语与颈椎损伤特别是上颈段损伤有直接关系 Objective: To find out the etiology of children’s Tourette’s Syndrome and to find new ways for its treatment. Methods: Thirty children with Tourette’s syndrome were followed up for detailed history, physical examination and cervical X-ray examination. Results: All 30 children had a history of head and neck trauma. The examination of the neck and the X-ray showed that there were abnormalities in the position of the upper cervical segment. In particular, the position of the pivot joint was abnormal. After treatment, the symptom of Tourette language was significantly reduced or disappeared. Conclusion: Tourette language is directly related to the cervical injury, especially the injury of the upper cervical region