摘要
目的:探讨儿童颅骨生长性骨折(GSF)的形成机制,诊断和治疗。方法:对我院15例GSF患儿的临床资料进行回顾性分析。结果:15例患儿均有颅脑外伤史,致颅骨线性骨折,骨折线进行性增宽,颅骨缺损,术中均发现有硬脑膜破裂。15例患儿均行手术治疗,3例患儿手术后出现脑积水并予脑室-腹腔(V-P)分流术。结论:颅骨骨折和硬脑膜破裂是发生GSF最重要的因素;患儿发生颅骨线性骨折后应定期复查头部CT,一旦确诊为GSF须行颅骨成形手术治疗;儿童GSF手术后出现的脑积水行V-P分流术治疗效果较好。
Objective： To discuss the pathogensis, diagnosis and treatment of growing skull fractures （GSF） in children. Methods： 15 cases with growing skull fractures were investigated retrospectively in west china hospital. Resuits：All of 15 cases have the history of skull trauma, leading a linear fracture and progressed widening or defect of fracture line. All cases were operated and a dural laceration along the fracture line was noted in operation. And 3 cases were performed ventriculo-peritioneal （V-P） shunt operation due to hydrencephalus after the operation. Conclusion： The skull fractures and dural laceration are considered the most important factors in the pathogenesis of GSF. Children with a linear fracture of skull bone should be regularly underwent CT scan of skull, cranioplasty surgery is necessary once the GSF was diagnosed. The ventriculo-peritioneal （V-P） shunt operation is the effective treatment for the hydrencephalus after cranioplasty surgery.
出处
《华西医学》
CAS
2009年第4期814-816,共3页
West China Medical Journal
