婴儿骨膜下血肿骨化后颅骨畸形的手术治疗(附4例报告)  

Surgical treatment of skull deformity resulted from ossified cephalhematoma for infant: a report of 4 cases

作　　者：张冰克[1] 吴明星[1] 李延滨[1] 吴迪[1] 马鸣雷 

机构地区：[1]首都儿科研究所附属儿童医院神经外科,北京100020

出　　处：《临床神经外科杂志》2017年第3期216-219,共4页Journal of Clinical Neurosurgery

摘　　要：目的探讨婴儿骨膜下血肿骨化后颅骨畸形的治疗方法及其效果。方法本组为首都儿科研究所附属儿童医院神经外科2016年3月~2016年11月收治的4例骨膜下血肿骨化后颅骨畸形的婴儿(年龄≤3个月23天)。对其中3例厚壁骨化的骨膜下血肿行颅骨成形术,1例薄壁血肿行穿刺抽吸术。结果 3例厚壁骨化的骨膜下血肿婴儿行颅骨成形术后,均得到满意的颅骨外形;3例婴儿术后均有不同程度的皮下积液产生,皮下积液均自行吸收。1例薄壁血肿婴儿行穿刺抽吸术后,患者的血肿绝大部分被抽出,头颅畸形得到纠正。4例婴儿均无术后感染和神经功能障碍发生。结论婴儿厚壁骨膜下血肿骨化,可行颅骨成形术治疗,并有很好的效果;但应预防术后皮下积液的产生。婴儿薄壁血肿可行穿刺抽吸加压包扎,可达到很好的疗效。Objective To study treatment strategy and efficacy of skull deformity resulted from ossified cephalhematoma for infant.Methods This retrospective study involved 4 infants with skull deformity resulted from ossified cephalhematoma who were underwent treatment in neurosurgery center of Children＇s hospital affiliated to the capital institute of pediatrics from March 2016 to November 2016.Ossified cephalhematoma with thick wall was underwent skull plastic surgery.And ossified cephalhematoma with thin wall was underwent puncture aspiration.Result 3 cases with thick wall were underwent skull plastic surgery and 1 infant was underwent puncture aspiration.3 cases underwent skull plastic surgery achieved wonderful skull contour and all of them suffered from postoperative transient fluid collection under skin.Most of the hematoma was extracted and skull deformity was corrected in the aspiration case.No patient suffered from postoperative infection and neurologic impairment.Conclusion Infant ossified cephalhematoma with thick wall could be treated by skull plastic surgery and will obtain good effect.Postopetative fluid collection under skin should be prevented.For the thin wall cases puncture aspiration and pressure dressing could be selected and the result is satisfied.

关 键 词：骨膜下血肿 骨化 婴儿 手术方法 

分 类 号：R726.8[医药卫生—儿科]