小儿外伤性颅骨缺损早期修复的临床意义

The Clinical Significance of Forepart Surgical Treatment for Traumati c Skull Defect (36 Cases Report)

目的 探讨小儿外伤性颅骨缺损早期修复的临床意义。 方法 对 36例小儿外伤性颅骨缺损早期修复重建。 结果 35例塑形满意 ,经 1～ 5年随访 ,头颅外形正常 ,触摸颅骨植片无松动、隆起及内陷现象 ,毛发生长良好。 7例有癫痫者 ,5例近期未见发作 ,2例好转。 结论 小儿长时间颅骨缺损有碍于美观及安全 ,早期修补能减少患儿和家长的心理负担 ,提高生活质量。

Objective To discuss the clinical significan ce of the traumatic skull defect’s forepart recovery. Methods 36 cases of forepart recovery for the traumatic skull defect were reported . Results The moulding were satisfied in 35 cases with 1 to 5 years follow-up. The figure of the skull was normal, and there were no em bedded bone flaps elevated or invaginated. The hair grew well. 5 cases showed no recurrence and 2 cases relieved of 7 cases who had seizure before operation. Conclusion Long-time skull defect has a bad influnence o n the figure of the head and put the brain tissue in danger. Forepart recovery o f the traumatic skull defect could decrease psychic burden of the children and t heir parents, and improve the quality of life.