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| 颅骨生长性骨折16例临床分析 | |
| 引用本文： | 李欢,周大彪,钱海燕,甲戈,马振宇. 颅骨生长性骨折16例临床分析[J]. 山东大学学报(医学版), 2011, 49(12): 103-106 |
| 作者姓名： | 李欢 周大彪 钱海燕 甲戈 马振宇 |
| 作者单位： | 首都医科大学附属北京天坛医院神经外科,北京,100050 |
| 摘 要： | 目的 探讨颅骨生长性骨折的发病机制,总结其临床特点及防治原则.方法 回顾性分析16例颅骨生长性骨折患儿的临床资料.所有患儿均行手术治疗,其中行开颅软化灶清除及硬膜修补术15例,行对侧脑室腹腔分流术1例.分析其发病机制、临床及影像学特点.结果 所有手术均获得成功,行开颅的患儿扩大切除增生颅骨,水密性严密修补硬膜.根据病情术中一期行骨片复位、钛板修补或择期行颅骨修补手术.术后出现皮下积液6例,经腰穿置管或行积液-腹腔分流术皮下积液得以控制.4例癫痫患儿中3例癫痫症状停止.随访平均3.5年,所有患儿均无复发.结论 硬膜撕裂是发生生长性骨折的必要条件,其治疗关键为手术严密修补硬膜. |
| 关 键 词： | 颅骨骨折 发病机制 病例分析 |
Growing Skull Fractures: Clinical analysis of 16 cases |
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| LI Huan , ZHOU Da-biao , QIAN Hai-yan , JIA Ge , MA Zhen-yu. Growing Skull Fractures: Clinical analysis of 16 cases[J]. Journal of Shandong University:Health Sciences, 2011, 49(12): 103-106 | |
| Authors: | LI Huan ZHOU Da-biao QIAN Hai-yan JIA Ge MA Zhen-yu |
| Affiliation: | LI Huan,ZHOU Da-biao,QIAN Hai-yan,JIA Ge,MA Zhen-yu(Department of Neurosurgery,Beijing Tiantan Hospital,Capital University of Medical Science,Beijing 100050,China) |
| Abstract: | Objectives To discuss the pathogenesis,clinical characteristics and the therapeutic strategies of growing skull fractures.Methods 16 cases of growing skull fractures were retrospectively studied.All patients underwent operations.Total resection of leptomeningeal cyst herniation and watertight repair of the dura were achieved in 15 patients.One patient underwent a ventriculoperitoneal shunt operation.The pathogenesis,clinical and radiological features of these patients were reviewed.Results All the procedure... |
| Keywords: | Skull fractures Pathogenesis Clinical analysis |
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