小儿颅骨开放性凹陷骨折治疗方法的探讨

Exploration of Therapeutic Method For Open Cave-in Skull Fracture

目的探索小儿开放性粉碎性颅骨凹陷骨折适当的治疗方法。方法14岁以下的开放性粉碎性颅骨凹陷骨折患者21例,根据伤口污染程度和颅脑损伤程度分为三组,分别采用Ⅰ期凹陷骨折复位术、延期凹陷骨折复位术和碎骨片清除术治疗。结果4例患者存在颅骨缺损,需行颅骨整形术。各组间感染发生率无显著性差异(P>0.05);Ⅰ期复位组与延期复位组的癫痫发生率无显著性差异(P>0.05)。结论选择适当的治疗方法,可使绝大多数小儿开放性粉碎性颅骨凹陷骨折患者避免颅骨缺损,从而避免了Ⅱ期颅骨整形。

Objective To explore a suitable therapeutic method for various open cave-in skull fracture in young children. Methods 21 Cases of open cave-in skull fracture whom age under 12 years old were divided into three groups,the grouping was based on the wound contaimnation de- gree as well as skull damage degree.First,we used reduction of the depressed fracture,postpone re- duction of the depressed fracture and bone chips clearance therapy. Results 4 cases occured skull defect,infection rate among three group was no obviously difference （P〉0.05）,epilepsy attack rate between group Ⅰ and group Ⅱ was also no remarkable difference. Conclusion Therapeutic method is based on these sick children practice condition,if selecting suitable operation procedure, the skull defect of the most open cave-in skull fracture of the affected children is avoidable,so the skull plasty phase Ⅱ could be avoided.