个体化治疗小儿颅骨凹陷粉碎性骨折

Treatment of depressed and splintered skull fracture in children by individualized surgery

目的探讨不同类型小儿颅骨凹陷粉碎性骨折发生的机制及手术治疗方法和效果。方法对53例不同类型小儿颅骨凹陷粉碎性骨折采用不同的手术方法进行治疗。结果术后死亡1例;43例患儿术后随访2年,2例遗留肢体轻度偏瘫,2例遗留轻度语言功能障碍,1例出现药物无法控制的癫痫发作,余恢复良好。结论对于小儿颅骨凹陷粉碎性骨折,应根据骨折不同类型及合并颅脑损伤情况采用相应手术治疗,可取得较好效果。

Objective To investigate the pathogenesis of different kinds of depressed and splintered skull fracture and the methods of its surgical treatment in the children.Methods The clinical data of 53 patients with different kinds of depressed and splintered skull fracture,who underwent individualized surgery,were analyzed retrospectively.Results Of 53 patients,51 were cured,1 had postoperative cerebral abscess and was cured by antiinfectious treatment,and 1 died after the operation.Of 43 patients followed up for 2 years,2 patients had mild hemiplegia,2 mild language dysfunction,1 intractable epilepsy and 38 were recovered well during following up.Conclusion According to the different types of fracture and the severity of the brain injury,the patients should be treated by individualized surgery,which can improve the prognoses in the children with depressed and splintered skull fracture.