[1]姚鹏飞,张中景,王凯,等.婴儿头颅骨化性骨膜下血肿的个体化治疗[J].中国临床神经外科杂志,2023,28(01):38-40.[doi:10.13798/j.issn.1009-153X.2023.01.011]
　YAO Peng-fei,ZHANG Zhong-jing,WANG Kai,et al.Individualized treatment of infancy ossified cephalo-hematomas: report of 13 cases and literature review[J].,2023,28(01):38-40.[doi:10.13798/j.issn.1009-153X.2023.01.011]
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婴儿头颅骨化性骨膜下血肿的个体化治疗()
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《中国临床神经外科杂志》[ISSN:1009-153X/CN:42-1603/TN]

卷:
28
期数:
2023年01期
页码:
38-40
栏目:
论著
出版日期:
2023-01-25

文章信息/Info

Title:
Individualized treatment of infancy ossified cephalo-hematomas: report of 13 cases and literature review
文章编号:
1009-153X（2023）01-0038-03
作者:
姚鹏飞; 张中景; 王凯; 曹丽; 屈晓东; 周杰
730050兰州，中国人民解放军联勤保障部队第九四〇医院神经外科（姚鹏飞、张中景、王凯、曹丽、屈晓东、周杰）
Author(s):
YAO Peng-fei;  ZHANG Zhong-jing;  WANG Kai;  CAO Li;  QU Xiao-dong;  ZHOU Jie
The 940th Hospital of Joint Logistics Support Force of PLA, Lanzhou 730050, China
关键词:
骨膜下血肿; 婴幼儿; 骨化性血肿; 治疗
Keywords:
Cephalohematomas;  Infant;  cranium;  Hematoma ossification;  Individualized treatment
分类号:
R651.1+5;R651.1+1
DOI:
10.13798/j.issn.1009-153X.2023.01.011
文献标志码:
A
摘要:
目的 探讨婴儿头颅骨化性骨膜下血肿的治疗方法及其疗效。方法 回顾性分析2015年6月至2021年10月收治的13例婴儿骨化性骨膜下血肿的临床资料。结果 2例外板较薄且不连续患儿采取穿刺抽吸术+加压包扎治疗，11例外板较厚且连续患儿采取骨化外板切除术治疗。13例均治愈；术中、术后无需输血，无头皮下感染、复发。术后随访半年，头颅外形均恢复正常，复查头颅CT显示颅骨恢复正常形态，脑组织发育正常。结论 婴儿骨化性骨膜下血肿应尽早治疗，薄层骨化行血肿穿刺抽吸术+加压包扎；出现厚壁骨化行骨化外板切除术是一种简单、有效的治疗措施。
Abstract:
Objective To investigate the treatment methods and outcomes of infancy ossified cephalohematomas. Methods The clinical data of 13 infancy ossified cephalohematomas admitted to our hospital from June 2015 to October 2021 were retrospectively analyzed. Results Two infants with a thin and discontinuous outer table of the skull were treated by puncture aspiration and pressure bandage, and 11 infants with a thick and continuous outer table of the skull were treated by excision of the ossified outer table of the skull. All 13 infants were cured. There was no need for blood transfusion during and after the operation, and there was no subcutaneous infection or recurrence. All the infants were followed up for half a year. The skull shape was normal and the development of the brain was normal. Conclusions Early treatment is recommended for infancy ossified cephalohematomas. Hematoma aspiration+pressure bandage is recommended for infants with a thin and discontinuous outer table of the skull, and excision of the ossified outer table of the skull is recommended for infants with a thick and continuous outer table of the skull.

参考文献/References:

[1]Liu L, Dong C, Chen L. Surgical treatment of ossified cephalhematoma: a case report and review of the literature [J]. World Neurosurg, 2016, 96: 614.e7-614.e9.
[2]Ucer M, Tacyildiz AE, Aydin I, et al. Observational case analysis of neonates with large cephalohematoma [J]. Cureus, 2021, 13(4): e14415.
[3]Blanc F, Bigorre M, Lamouroux A, et al. Early needle aspiration of large infant cephalohematoma: a safe procedure to avoid esthetic complications [J]. Eur J Pediatr, 2020, 179(2): 265-269.
[4]Ulma RM, Sacks G, Rodoni BM, et al. Management of calcified cephalohematoma of infancy: the University of Michigan 25-year experience [J]. Plast Reconstr Surg, 2021, 148(2): 409-417.
[5]Nicholson L. Caput succedaneum and cephalohematoma: the cs that leave bumps on the head [J]. Neonatal Netw, 2007, 26(5): 277-281.
[6]Roth J, Constantini S. Occipital cephalohematoma--a rare pathology [J]. Childs Nerv Syst, 2016, 32(11): 2057-2058.
[7]Li C, Fennessy P. The periosteum: a simple tissue with many faces, with special reference to the antler-lineage periostea [J]. Biol Direct, 2021, 16(1): 17.
[8]Basagaoglu B, St Cyr G, Dempsey RF, et al. Chicken or the egg: a case report of endoscopic-assisted treatment of concomitant sagittal craniosynostosis with calcified cephalo-hematoma [J]. J Craniofac Surg, 2020, 31(2): e130-e133.
[9]Vigo V, Battaglia DI, Frassanito P, et al. Calcified cephalo-hematoma as an unusual cause of EEG anomalies: case report [J]. J Neurosurg Pediatr, 2017, 19(1): 46-50.
[10]Kandemirli SG, Cingoz M, Bilgin C, et al. Temporal evolution of imaging findings in ossified cephalohematoma [J]. J Craniofac Surg, 2020, 31(4): e375-e378.
[11]Yoon SD, Cho BM, Oh SM, et al. Spontaneous resorption of calcified cephalhematoma in a 9-month-old child: case report [J]. Childs Nerv Syst, 2013, 29(3): 517-519.
[12]Liby P, Lomachinsky V, Felici G, et al. Sagittal craniosynostosis associated with midline cephalhematoma or vice versa, case report and a review of the literature [J]. Childs Nerv Syst, 2019, 35(4): 729-732.
[13]Wong CH, Foo CL, Seow WT. Calcified cephalohematoma: classification, indications for surgery and techniques [J]. J Craniofac Surg, 2006, 17(5): 970-979.
[14]Calloni T, Trezza A, Mazzoleni F, et al. Infant ossified cephalohematoma: a review of the surgical management and technical update [J]. J Neurosurg Sci, 2020, 64(6): 552-557.

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备注/Memo

备注/Memo:
（2022-04-24收稿，2023-01-13修回）
更新日期/Last Update: 2022-02-28