中华小儿外科杂志
中華小兒外科雜誌
중화소인외과잡지
CHINESE JOURNAL OF PEDIATRIC SURGERY
2014年
3期
182-185
,共4页
曹红宾%王贤书%杨志国%程征海%景世元%李鑫
曹紅賓%王賢書%楊誌國%程徵海%景世元%李鑫
조홍빈%왕현서%양지국%정정해%경세원%리흠
婴儿,新生%头皮%血肿%外科手术
嬰兒,新生%頭皮%血腫%外科手術
영인,신생%두피%혈종%외과수술
Infant,newborn%Scalp%Hematoma%Surgical procedures,operative
目的 探讨小婴儿头皮血肿钙化的临床特征及外科治疗方法.方法 对河北省儿童医院神经外科2011年01月至2012年12月手术治疗的14例小婴儿头皮血肿钙化的临床特征、手术步骤、手术细节及预后等进行回顾性分析.全身麻醉下于钙化血肿表面行弧形切口,在帽状腱膜下或骨膜下剥离皮瓣,切开钙化血肿囊,吸净囊液,迅速咬除新生骨质及纤维板以减少出血,过程中注意保护骨膜及硬脑膜,将骨膜完整贴附于萎缩骨板.术后随访3至24个月.结果 本组14例患儿均为新生儿头皮血肿未吸收且未及时穿刺抽吸发展而来,平均就诊年龄2个月,位于单侧或双侧头顶部,手术采用新生骨质切除骨膜贴附法,手术的关键点是恢复骨膜与颅板的解剖学贴附,术后查体及头颅CT随诊,14例患儿头颅外观畸形消失,颅板萎缩恢复,预后良好.结论 小婴儿头皮血肿钙化由新生儿头皮血肿发展而来,通过及时的新生骨质切除骨膜贴附可治愈.预防小婴儿头皮血肿钙化的最好方法是及时行新生儿头皮血肿穿刺抽吸加压包扎.
目的 探討小嬰兒頭皮血腫鈣化的臨床特徵及外科治療方法.方法 對河北省兒童醫院神經外科2011年01月至2012年12月手術治療的14例小嬰兒頭皮血腫鈣化的臨床特徵、手術步驟、手術細節及預後等進行迴顧性分析.全身痳醉下于鈣化血腫錶麵行弧形切口,在帽狀腱膜下或骨膜下剝離皮瓣,切開鈣化血腫囊,吸淨囊液,迅速咬除新生骨質及纖維闆以減少齣血,過程中註意保護骨膜及硬腦膜,將骨膜完整貼附于萎縮骨闆.術後隨訪3至24箇月.結果 本組14例患兒均為新生兒頭皮血腫未吸收且未及時穿刺抽吸髮展而來,平均就診年齡2箇月,位于單側或雙側頭頂部,手術採用新生骨質切除骨膜貼附法,手術的關鍵點是恢複骨膜與顱闆的解剖學貼附,術後查體及頭顱CT隨診,14例患兒頭顱外觀畸形消失,顱闆萎縮恢複,預後良好.結論 小嬰兒頭皮血腫鈣化由新生兒頭皮血腫髮展而來,通過及時的新生骨質切除骨膜貼附可治愈.預防小嬰兒頭皮血腫鈣化的最好方法是及時行新生兒頭皮血腫穿刺抽吸加壓包扎.
목적 탐토소영인두피혈종개화적림상특정급외과치료방법.방법 대하북성인동의원신경외과2011년01월지2012년12월수술치료적14례소영인두피혈종개화적림상특정、수술보취、수술세절급예후등진행회고성분석.전신마취하우개화혈종표면행호형절구,재모상건막하혹골막하박리피판,절개개화혈종낭,흡정낭액,신속교제신생골질급섬유판이감소출혈,과정중주의보호골막급경뇌막,장골막완정첩부우위축골판.술후수방3지24개월.결과 본조14례환인균위신생인두피혈종미흡수차미급시천자추흡발전이래,평균취진년령2개월,위우단측혹쌍측두정부,수술채용신생골질절제골막첩부법,수술적관건점시회복골막여로판적해부학첩부,술후사체급두로CT수진,14례환인두로외관기형소실,로판위축회복,예후량호.결론 소영인두피혈종개화유신생인두피혈종발전이래,통과급시적신생골질절제골막첩부가치유.예방소영인두피혈종개화적최호방법시급시행신생인두피혈종천자추흡가압포찰.
Objective To explore the clinical features and surgical management of infantile calcified cephalohematoma.Methods A total of 14 infants with calcified cephalohematoma treated at our hospital from January 2011 to December 2012 were retrospectively analyzed.Their clinical features,operative procedures and outcomes were analyzed.Skin flap was opened under galea aponeurotica or periosteum by an arc incision.The blood in cyst was removed by aspiration through drilling a hole through calcified cephalohematoma.Neoformative abnormal bone was snipped off rapidly to reduce bleeding.Then periosteum was attached to atrophic bone.Periosteum and dura were protected throughout operation.All cases were followed up for 3 months to 2 years.Results Calcified cephalohematoma was a result of either failed absorption or no early aspiration.Their mean age was 2 months.The locations were at uni or bi-lateral parietal regions.Bone resection and periosteum sticking were employed.A key was restoring anatomical apposing of skull bone and periosteum.Skull deformity was corrected and cranial bone atrophy recovered.Conclusions Infantile calcified cephalohematoma may be cured by bone resection and periosteum sticking.And the best preventive method is early aspiration and pressure dressing.
