骨瓣旋转术式治疗婴幼儿狭颅症(附7例报告)

Rotating bone flap for the treatment of craniostenosis in infants(report of 7 cases)

目的探讨骨瓣旋转术式治疗婴幼儿狭颅症的手术疗效。方法回顾性分析2007年6月∽2013年2月收治的7例狭颅症患儿的临床资料,5例为矢状缝早闭所致的＂舟状头＂,采用额顶骨骨瓣交叉旋转＋颞骨栅栏截骨术式;2例为额缝早闭所致的＂三角头＂,采用额骨骨瓣旋转＋额眶带前移术式。结果 7例患儿均痊愈出院,无明显并发症。出院后随访6月∽6年,患儿头颅外形明显改善,神经功能发育正常。结论骨瓣旋转术式利用畸形颅骨自身角度,有效地扩充颅腔容积,术后美观度良好,是手术治疗婴幼儿狭颅症的有效术式。

Objective To explore the curative effect of rotating bone flap method on craniostenosis in the infants. Methods The clinical data of 7 infants with eraniostenosis undergoing surgery in our hospital from June, 2007 to February, 2013 were analyzed retrospectively. The frontoparietal bone flaps were rotated in crosswise and temporal bone were cut in paliform in 5 infants with sagittal synostosis. The frontal bone flaps were rotated and frontoorbital plasty were used in 2 infants with tr/gonocephalia. Results There were no any complications after the surgery in 7 infants, who were recovered well. The following up from 6 months to 6 years showed that the heads appearances were significantly improved and the neurological function development was normal in all the infants. Conclusions Rotating bone flap is an optimal operative method to treat craniostenosis in the infants.