CAJ | 학술논문

目的：探讨生长性颅骨骨折早期有效的预防措施。方法：回顾性分析我院1990年1月至2009年12月收治63例婴幼儿分离性颅骨骨折的l临床资料。结果：63例病儿颅骨骨折线宽度三3mm，其中52例CT或MRI提示有脑组织疝出或局部肿块穿刺抽出血性脑脊液或／和破碎脑组织者，经早期手术处理（包括坏死脑组织清除术和硬脑膜修补术），11例行非手术治疗，63例均成活，随访6月到3年和头颅CT复查，58例恢复正常，5例有脑软化灶；轻残3例，其中1例有外伤性癫痫。无生长性颅骨骨折发生。结论：婴幼儿颅骨骨折线宽度≥3mm和CT或MRI提示有脑组织疝出或局部肿块穿刺抽出血性脑脊液或／和破碎脑组织者，经早期手术清除坏死挫裂伤的脑组织术、严密缝合或修补硬脑膜，足预防生长性颅骨骨折发生的有效手段。
목적：탐토생장성로골골절조기유효적예방조시。방법：회고성분석아원1990년1월지2009년12월수치63례영유인분리성로골골절적l림상자료。결과：63례병인로골골절선관도삼3mm，기중52례CT혹MRI제시유뇌조직산출혹국부종괴천자추출혈성뇌척액혹／화파쇄뇌조직자，경조기수술처리（포괄배사뇌조직청제술화경뇌막수보술），11례행비수술치료，63례균성활，수방6월도3년화두로CT복사，58례회복정상，5례유뇌연화조；경잔3례，기중1례유외상성전간。무생장성로골골절발생。결론：영유인로골골절선관도≥3mm화CT혹MRI제시유뇌조직산출혹국부종괴천자추출혈성뇌척액혹／화파쇄뇌조직자，경조기수술청제배사좌렬상적뇌조직술、엄밀봉합혹수보경뇌막，족예방생장성로골골절발생적유효수단。
Objective：To investigate the early and effective treatment to present the growing skull fracture. Methods： Retrospective analysis of the clinical data of 63cases with separation on dissociated skull fracture from January 1990 to December 2009 in our hospital. Result： The skull fracture line of sick children （63 cases） was greater than or equal to 3cm,the bloody cerebrospinal fluid and broken brain organizer were founded in the local mbss puncture and CT or MRI. 52 cases were performed the operation （ including the necrotic brain tissue dissection and duralplasty or dural repaired）, and 11 cases were treated conservatively. The 63 eases were survived. 58 cases were normal, encephalomalacia in 5 cases, mild disability in 3cases, including 1 ease of traumatic epilepsy followed up for 6 months to 3 years and head CT review. None of 63 cases take place the growing skull fracture. Conclusion： Early surgical treatment including removal of necrotic brain tissue laceralion, duralplasty or dural repaired was a effective mean to prevent the growing skull fracture in the sick infants with skull fracture line greater than or equal to 3cm and bloody cerebrospinal fluid and broken brain organizer were founded in the local mass puncture.