后颅牵张成骨治疗综合征型颅缝早闭症的研究进展  

Research progress on treatment of syndromic craniosynostosis using posterior cranial vault distraction osteogenesis

作　　者：胥曦 张智勇 Xu Xi;Zhang Zhiyong(Department of Maxillofacial Surgery,Plastic Surgery Hospital,Chinese Academy of Medical Sciences and Peking Union Medical College,Beijing 100144,China)

机构地区：[1]中国医学科学院整形外科医院颌面整形中心,北京100144

出　　处：《中华整形外科杂志》2018年第10期883-888,共6页Chinese Journal of Plastic Surgery

摘　　要：颅缝早闭症是一组常见的先天性颅颌面畸形。综合征型颅缝早闭症往往伴随着颅内压升高、颅脑发育受限、颅面畸形乃至小脑扁桃体下疝。传统的前颅塑形及后颅重塑手术，有着手术风险大、复发率高、治疗效果欠佳等弊端。后颅牵张成骨手术操作相对简单，治疗过程具有可控性、准确性和稳定性，可以大幅度扩张颅内容量，改善前颅后颅形态，且潜在并发症风险低，可以作为治疗综合征型颅缝早闭症的首选方案。Craniosynostosis is a group of common congenital craniomaxillofacial deformities. Syndromic craniosynostosis is usually accompanied by increased intracranial pressure, craniocerebral growth restriction, craniofacial deformities and even chiari malformation. Traditional anterior or posterior skull reshaping has its drawbacks such as high surgical risk, high recurrence rate and unsatisfactory therapeutic efficacy, and so on. The operation technique of posterior cranial vault distraction is relatively simple. The treatment process is controllable, accurate and stable. It can largely expand the intracranial volume and improve the anterior and posterior skull configuration with a low risk of complications. To sum up, posterior cranial vault distraction osteogenesis can be a surgical procedure of choice when syndromic craniosynostosis is treated.

关 键 词：颅缝早闭 综合征 骨发生 撑开牵引 颅内压增高 

分 类 号：R782.2[医药卫生—口腔医学]