婴儿头颅骨化性骨膜下血肿的个体化治疗  

Individualized treatment of infancy ossified cephalohematomas:report of 13 cases and literature review

作　　者：姚鹏飞 张中景 王凯 曹丽 屈晓东 周杰 YAO Peng-fei;ZHANG Zhong-jing;WANG Kai;CAO Li;QU Xiao-dong;ZHOU Jie(The 940th Hospital of Joint Logistics Support Force of PLA,Lanzhou 730050,China)

机构地区：[1]中国人民解放军联勤保障部队第九四〇医院神经外科,兰州730050

出　　处：《中国临床神经外科杂志》2023年第1期38-40,共3页Chinese Journal of Clinical Neurosurgery

摘　　要：目的探讨婴儿头颅骨化性骨膜下血肿的治疗方法及其疗效。方法回顾性分析2015年6月至2021年10月收治的13例婴儿骨化性骨膜下血肿的临床资料。结果2例外板较薄且不连续患儿采取穿刺抽吸术+加压包扎治疗,11例外板较厚且连续患儿采取骨化外板切除术治疗。13例均治愈;术中、术后无需输血,无头皮下感染、复发。术后随访半年,头颅外形均恢复正常,复查头颅CT显示颅骨恢复正常形态,脑组织发育正常。结论婴儿骨化性骨膜下血肿应尽早治疗,薄层骨化行血肿穿刺抽吸术+加压包扎;出现厚壁骨化行骨化外板切除术是一种简单、有效的治疗措施。Objective To investigate the treatment methods and outcomes of infancy ossified cephalohematomas.Methods The clinical data of 13 infancy ossified cephalohematomas admitted to ouRhospital from June 2015 to OctobeR2021 were retrospectively analyzed.Results Two infants with a thin and discontinuous outeRtable of the skull were treated by puncture aspiration and pressure bandage,and 11 infants with a thick and continuous outeRtable of the skull were treated by excision of the ossified outeRtable of the skull.All 13 infants were cured.There was no need foRblood transfusion during and afteRthe operation,and there was no subcutaneous infection oRrecurrence.All the infants were followed up foRhalf a year.The skull shape was normal and the development of the brain was normal.Conclusions Early treatment is recommended foRinfancy ossified cephalohematomas.Hematoma aspiration+pressure bandage is recommended foRinfants with a thin and discontinuous outeRtable of the skull,and excision of the ossified outeRtable of the skull is recommended foRinfants with a thick and continuous outeRtable of the skull.

关 键 词：骨膜下血肿 婴幼儿 骨化性血肿 治疗 

分 类 号：R651.15[医药卫生—外科学] R651.11[医药卫生—临床医学]