Xi Min, Shi Hangyu, Zhang Gang
Department of Neurosurgery, Xi'an Children's Hospital, Children's Hospital Affiliated to Xi'an, Jiaotong University, #69, Xijuyuan Lane, Lianhu District, Xi'an, 710043, Shaanxi, China.
Childs Nerv Syst. 2025 Jan 2;41(1):77. doi: 10.1007/s00381-024-06740-x.
Investigate the clinical features and treatment outcomes of neonatal cephalohematoma and ossified cephalohematoma.
A retrospective review was conducted on the clinical features of 281 children with neonatal cephalohematoma and ossified cephalohematoma managed over the previous 10 years.
Of the neonatal cephalohematomas, 75 underwent puncture and aspiration, while 98 neonatal ossified cephalohematomas were treated with neurosurgery without cranioplasty. The majority (83%) required only a single puncture, with no cases of infection or ossification in this group. Pathological examination revealed that ossified cephalohematomas resulted from the progression of neonatal cephalohematomas and were characterized by subperiosteal osteogenesis.
Our findings suggest that a more aggressive therapeutic approach and early surgical intervention for cephalohematoma are warranted. Puncture and aspiration of neonatal cephalohematoma is a safe and effective procedure that can prevent ossification. Early neurosurgery for ossified cephalohematoma is recommended as it is technically less challenging and can minimize the risk of severe surgical trauma.
探讨新生儿头颅血肿及头颅血肿骨化的临床特征及治疗效果。
对过去10年中收治的281例新生儿头颅血肿及头颅血肿骨化患儿的临床特征进行回顾性分析。
新生儿头颅血肿中，75例行穿刺抽吸治疗，98例头颅血肿骨化患儿接受了无颅骨成形术的神经外科治疗。大多数（83%）仅需单次穿刺，该组无感染或骨化病例。病理检查显示，头颅血肿骨化是由新生儿头颅血肿进展所致，其特征为骨膜下成骨。
我们的研究结果表明，对于头颅血肿，更积极的治疗方法和早期手术干预是必要的。新生儿头颅血肿穿刺抽吸是一种安全有效的方法，可预防骨化。建议对头颅血肿骨化早期行神经外科手术，因为该手术技术难度较小，可将严重手术创伤风险降至最低。
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