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华西医学  2009 

儿童颅骨生长性骨折的临床研究

, PP. 814-816

Keywords: 儿童,颅骨生长性骨折,外伤后脑积水,颅骨成形术

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Abstract:

目的探讨儿童颅骨生长性骨折(GSF)的形成机制,诊断和治疗。方法对我院15例GSF患儿的临床资料进行回顾性分析。结果15例患儿均有颅脑外伤史,致颅骨线性骨折,骨折线进行性增宽,颅骨缺损,术中均发现有硬脑膜破裂。15例患儿均行手术治疗,3例患儿手术后出现脑积水并予脑室-腹腔(V-P)分流术。结论颅骨骨折和硬脑膜破裂是发生GSF最重要的因素;患儿发生颅骨线性骨折后应定期复查头部CT,一旦确诊为GSF须行颅骨成形手术治疗;儿童GSF手术后出现的脑积水行V-P分流术治疗效果较好。

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