兒童顱骨生長性骨折的臨床研究_《華西醫學》

作者：

四川大學華西醫院1.神經外科;2.神經內科,四川成都 610041;

關鍵詞：

兒童顱骨生長性骨折外傷后腦積水顱骨成形術

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目的:探討兒童顱骨生長性骨折(GSF)的形成機制,診斷和治療。方法:對我院15例GSF患兒的臨床資料進行回顧性分析。結果:15例患兒均有顱腦外傷史,致顱骨線性骨折,骨折線進行性增寬,顱骨缺損,術中均發現有硬腦膜破裂。15例患兒均行手術治療,3例患兒手術后出現腦積水并予腦室-腹腔(V-P)分流術。結論:顱骨骨折和硬腦膜破裂是發生GSF最重要的因素;患兒發生顱骨線性骨折后應定期復查頭部CT,一旦確診為GSF須行顱骨成形手術治療;兒童GSF手術后出現的腦積水行V-P分流術治療效果較好。

引用本文： 曾義軍,陳兢,張恒,肖力,賈祿,高安亮,李良,雷町. 兒童顱骨生長性骨折的臨床研究. 華西醫學, 2009, 24(4): 814-816. doi: 復制

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2.	GUPTA V, SINHA S, SINGH A K, et al. Growing skull fracture of ethmoid: a report of two cases[J]. J Craniomaxillofac Surg,2000,28(4):224-228..
3.	HAYASHI Y, YAMAKI T, ODAKE G, et al. Long-term follow up of a growing skull fracture treated by dura and cranioplasty with artificial dura mater and methylmethacrylate[J]. Childs Nervous System,1997,13(6):349-351..
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6.	陳立朝,許民輝,鄒詠文,等.顱骨生長性骨折的臨床分析[J].第三軍醫大學學報,2007,29(20):2016-2017..
7.	ERSAHIN Y, GULMEN V, PALALI I, et al. Growing skull fractures (craniocerebral erosion)[J]. Neurosurg Rev,2000,23(3):139-44..
8.	YEN C P, CHEANG C M, LOH J K, et al. Growing skull fractures[J]. Kaohsiung J Med Sci,1999,15(3):175-181..
9.	HAMAMCIOGLU M K, HICDONMEZ T, KILINCER C, et al. Large intradiploic growing skull fracture of the posterior fossa[J]. Pediatric Radiol,2006,36(1):68-70.〖ZK)〗.
10.	CROCKER M, TAWARI G, ROBERTSON F, et al. Growing skull fracture in the absence of a dural tear[J]. Br J Neurosurg,2006,20(2):97-99..
11.	GROSWASSER Z, COHEN M, REIDER-GROSWASSERI, et al. Incidence, CT findings and rehabilitation outcome of patients with communicative hydrocephalus following severe head injury[J]. Brain Inj,1998,2(4):267..
12.	MIKI T, NAKAJIMA N, WADA J, et al. Cause of post-traumatic hydrocephalus because of traumatic aqueduct obstruction in two cases[J]. J Trauma,2006,61(4):985-989..
13.	WU CHENG-CHENG. Diagnosis and treatment of post-traumatic hydrocephalus[J]. Med Inform Sect Oper Surg,2008,(1)..
14.	TRIBL G, ODER W. Outcome after shunt implantation in severe head injury with post-traumatic hydrocephalus[J]. Brain Inj,2000,14(4):345-354..
15.	LI G, WEN L, ZHAN R Y, et al. Cranioplasty for patients developing large cranial defects combined with post-traumatic hydrocephalus after head trauma[J]. Brain Inj,2008,22(4):333-337..

1. COLAK A, AKBASAK A, BILICILER B, et al. An unusual variant of a growing skull fracture in an adolescent[J]. Pediatr Neurosurg,1998,29(1):36-39..
2. GUPTA V, SINHA S, SINGH A K, et al. Growing skull fracture of ethmoid: a report of two cases[J]. J Craniomaxillofac Surg,2000,28(4):224-228..
3. HAYASHI Y, YAMAKI T, ODAKE G, et al. Long-term follow up of a growing skull fracture treated by dura and cranioplasty with artificial dura mater and methylmethacrylate[J]. Childs Nervous System,1997,13(6):349-351..
4. ZEGERS B, JIRA P, WILLEMSEN M, et al. The growing skull fracture, a rare complication of paediatric head injury[J]. Eur J Pediatrics,2003,162(7-8):556-557..
5. MILTOS K, SUGIULTZOGLU MARK M. Souweidane early management of craniocerebral injury with avoidance of post-traumatic leptomeningeal cyst formation[J]. Pediatr Neurosurg,2001,35:329-333..
6. 陳立朝,許民輝,鄒詠文,等.顱骨生長性骨折的臨床分析[J].第三軍醫大學學報,2007,29(20):2016-2017..
7. ERSAHIN Y, GULMEN V, PALALI I, et al. Growing skull fractures (craniocerebral erosion)[J]. Neurosurg Rev,2000,23(3):139-44..
8. YEN C P, CHEANG C M, LOH J K, et al. Growing skull fractures[J]. Kaohsiung J Med Sci,1999,15(3):175-181..
9. HAMAMCIOGLU M K, HICDONMEZ T, KILINCER C, et al. Large intradiploic growing skull fracture of the posterior fossa[J]. Pediatric Radiol,2006,36(1):68-70.〖ZK)〗.
10. CROCKER M, TAWARI G, ROBERTSON F, et al. Growing skull fracture in the absence of a dural tear[J]. Br J Neurosurg,2006,20(2):97-99..
11. GROSWASSER Z, COHEN M, REIDER-GROSWASSERI, et al. Incidence, CT findings and rehabilitation outcome of patients with communicative hydrocephalus following severe head injury[J]. Brain Inj,1998,2(4):267..
12. MIKI T, NAKAJIMA N, WADA J, et al. Cause of post-traumatic hydrocephalus because of traumatic aqueduct obstruction in two cases[J]. J Trauma,2006,61(4):985-989..
13. WU CHENG-CHENG. Diagnosis and treatment of post-traumatic hydrocephalus[J]. Med Inform Sect Oper Surg,2008,(1)..
14. TRIBL G, ODER W. Outcome after shunt implantation in severe head injury with post-traumatic hydrocephalus[J]. Brain Inj,2000,14(4):345-354..
15. LI G, WEN L, ZHAN R Y, et al. Cranioplasty for patients developing large cranial defects combined with post-traumatic hydrocephalus after head trauma[J]. Brain Inj,2008,22(4):333-337..

《華西醫學》

兒童顱骨生長性骨折的臨床研究

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《華西醫學》

兒童顱骨生長性骨折的臨床研究

摘要 全文 圖表 視頻 參考文獻 施引文獻 補充材料

Format

Content

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