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[新生儿凹陷性颅骨骨折。乒乓球骨折病例报告及文献综述]

[Depressed skull fractures in newborns. Case report of ping-pong fracture and literature review].

作者信息

Popov V E, Mai R B

机构信息

Vladimirsky Moscow Regional Research Clinical Institute, Moscow, Russia.

Pirogov Russian National Research Medical University, Moscow, Russia.

出版信息

Zh Vopr Neirokhir Im N N Burdenko. 2022;86(1):96-102. doi: 10.17116/neiro20228601196.

Abstract

Depressed skull fractures (ping-pong) in the fetus and newborn are associated with birth canal pathology, maternal trauma and birth trauma following instrumental delivery. The authors report a newborn with a depressed skull fracture (ping-pong) who underwent minimally invasive neurosurgical lifting of bone fragment through a burr hole. Strategy and methods of treatment of similar depressed skull fractures were comprehensively discussed. Moreover, the authors proposed a brief algorithm for the use of vacuum systems and various surgical techniques, including follow-up depending on type, cause, size of the fracture and concomitant intracranial lesions.

摘要

胎儿和新生儿的凹陷性颅骨骨折(乒乓球样骨折)与产道病变、母体创伤以及器械助产导致的分娩创伤有关。作者报告了一例患有凹陷性颅骨骨折(乒乓球样骨折)的新生儿,该患儿通过钻孔进行了微创神经外科骨碎片复位。全面讨论了类似凹陷性颅骨骨折的治疗策略和方法。此外,作者提出了一个使用真空系统和各种手术技术的简要方案,包括根据骨折类型、病因、大小以及颅内合并病变进行随访。

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