中华神经外科杂志
中華神經外科雜誌
중화신경외과잡지
Chinese Journal of Neurosurgery
2014年
12期
1258-1261
,共4页
婴幼儿%颅骨生长性骨折%自体骨瓣成型
嬰幼兒%顱骨生長性骨摺%自體骨瓣成型
영유인%로골생장성골절%자체골판성형
Infants%Growing skull fracture%Autologous bone flap molding
目的 探讨婴幼儿颅骨生长性骨折的临床特点,强调及早手术,一期自体颅骨修补与硬膜修补同是加速治愈的关键.方法 回顾性分析2008年9月至2013年12月间收治的经CT/MRI动态观察的12例3岁以下婴幼儿颅骨生长性骨折的临床资料.结果 5例采用人工脑膜腱修补硬脑膜+自体骨瓣成型移位固定,成功治愈颅骨生长性骨折,3个月内颅骨均愈合.4例仅行硬脑膜修补,颅骨缺损处未行一期修补,效果尚满意,但术后随访,颅骨愈合时间较长.3例失访.结论 婴幼儿颅骨正处于生长发育期,应及早手术,早期清除坏死灶、严密缝合或修补硬脑膜,并采用自体骨瓣成型移位固定,一期还原硬脑膜和颅骨解剖形态,加速生长愈合,疗效确切.
目的 探討嬰幼兒顱骨生長性骨摺的臨床特點,彊調及早手術,一期自體顱骨脩補與硬膜脩補同是加速治愈的關鍵.方法 迴顧性分析2008年9月至2013年12月間收治的經CT/MRI動態觀察的12例3歲以下嬰幼兒顱骨生長性骨摺的臨床資料.結果 5例採用人工腦膜腱脩補硬腦膜+自體骨瓣成型移位固定,成功治愈顱骨生長性骨摺,3箇月內顱骨均愈閤.4例僅行硬腦膜脩補,顱骨缺損處未行一期脩補,效果尚滿意,但術後隨訪,顱骨愈閤時間較長.3例失訪.結論 嬰幼兒顱骨正處于生長髮育期,應及早手術,早期清除壞死竈、嚴密縫閤或脩補硬腦膜,併採用自體骨瓣成型移位固定,一期還原硬腦膜和顱骨解剖形態,加速生長愈閤,療效確切.
목적 탐토영유인로골생장성골절적림상특점,강조급조수술,일기자체로골수보여경막수보동시가속치유적관건.방법 회고성분석2008년9월지2013년12월간수치적경CT/MRI동태관찰적12례3세이하영유인로골생장성골절적림상자료.결과 5례채용인공뇌막건수보경뇌막+자체골판성형이위고정,성공치유로골생장성골절,3개월내로골균유합.4례부행경뇌막수보,로골결손처미행일기수보,효과상만의,단술후수방,로골유합시간교장.3례실방.결론 영유인로골정처우생장발육기,응급조수술,조기청제배사조、엄밀봉합혹수보경뇌막,병채용자체골판성형이위고정,일기환원경뇌막화로골해부형태,가속생장유합,료효학절.
Objective To explore the clinical characteristics and treatment of infants growing skull fracture.Methods A retrospective study of 12 cases of infants under 3 years of age of growing skull fracture from 2008 September to 2013 December was performed.Results Five cases were treated with dural repair by artificial dura tendon and autologous bone flap molding shift.The growing skull fracture was healed within three months.The other 4 cases were treated with artificial dura tendon only for dural repair.The results were also satisfactory,but the bone healing time was long.The remaining 3 cases were lost during the followup period.Conclusion When the skull fracture line width was increased and/or dural breakage or brain hernia was found from the observation of dynamic CT/MRI,early surgical intervention should be performed to remove the necrotic foci,repair the dura,and use autogenous bone flap molding shift to fix the fracture,to accelerate the growth and healing of the fracture.
