儿童凹陷性颅骨骨折：使用产科真空吸引器进行治疗
Depressed skull fractures in children: Treatment using an obstetrical vacuum extractor.
作者信息
de Paul Djientcheu V, Njamnshi A K, Ongolo-Zogo P, Ako S, Essomba A, Sosso M A
机构信息
Neurosurgery Service, Central Hospital, Yaounde, Cameroun.
出版信息
Pediatr Neurosurg. 2006;42(5):273-6. doi: 10.1159/000094061.
INTRODUCTION
A depressed skull fracture is an inward buckling of the skull bones. It is referred to as a ping-pong ball fracture in neonates; in older children, some fractures take a cup shape mimicking 'ping-pong' ball fractures.
OBJECTIVE AND METHODS
The aim of this study was to assess the use of an obstetric vacuum extractor to elevate cup-shaped depressed skull fractures in children irrespective of age. All children admitted into the Central Hospital of Yaounde between 1999 and 2004 with a cup-shaped simple depressed skull fracture and treated with the vacuum extractor were included.
RESULTS
Nine children aged from 3 months to 17 years were treated with the vacuum extractor. The cosmetic and radiographic results were satisfactory. The procedure was simple and without any complication.
CONCLUSION
The elevation of 'ping-pong-ball-like' or 'cup-shaped' skull fractures in older children (beyond the neonatal period) is a simple, effective and safe procedure.
引言
颅骨凹陷性骨折是颅骨向内凹陷。在新生儿中被称为乒乓球样骨折；在年龄较大的儿童中，一些骨折呈杯状，类似“乒乓球”样骨折。
目的和方法
本研究的目的是评估使用产科真空吸引器抬高儿童杯状凹陷性颅骨骨折，年龄不限。纳入1999年至2004年期间在雅温得中心医院收治的所有患有杯状单纯凹陷性颅骨骨折并接受真空吸引器治疗的儿童。
结果
9名年龄从3个月至17岁的儿童接受了真空吸引器治疗。美容和影像学结果令人满意。该操作简单，无任何并发症。
结论
在年龄较大的儿童（新生儿期之后）抬高“乒乓球样”或“杯状”颅骨骨折是一种简单、有效且安全的操作。
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