创伤系列中的蝶鞍骨折及其临床意义。
Sella turcica fractures in a trauma series and their clinical significance.
作者信息
Ceviker N, Baykaner K, Keskil S, Işik S, Tokyay M, Kaymaz M, Aykol S
机构信息
Department of Neurosurgery, Gazi University Faculty of Medicine, Ankara, Turkey.
出版信息
Surg Neurol. 1995 Jul;44(1):28-30. doi: 10.1016/0090-3019(95)00048-8.
BACKGROUND
Fractures in the region of the sella turcica (ST) are usually associated with severe blunt head trauma and may produce many complications. The true incidence is difficult to assess since there have been only about 30 cases reported in the literature.
METHODS
A total of 470 computed tomography (CT) sections--with optimum bone window images of skull bone--of 1600 head trauma patients who were admitted between 1979 and 1992, inclusive, to the Neurosurgery Department of Gazi University Medical School were analyzed retrospectively.
RESULTS
There were a total of 17 patients with a fracture of the ST, constituting an incidence of 3.6%, and there was a preponderance of children.
CONCLUSIONS
Computed tomography was very helpful in assessing the extent of ST fractures. In our cases, these fractures were not associated with a high complication or death rate, although a cerebrospinal fluid fistula was present in 53%.
背景
蝶鞍区骨折通常与严重的钝性头部外伤相关，且可能引发多种并发症。由于文献中仅报道了约30例，故真实发病率难以评估。
方法
回顾性分析了1979年至1992年期间（含）入住加齐大学医学院神经外科的1600例头部外伤患者的470份计算机断层扫描（CT）切片——具有颅骨的最佳骨窗图像。
结果
共有17例蝶鞍区骨折患者，发病率为3.6%，且儿童居多。
结论
计算机断层扫描在评估蝶鞍区骨折范围方面非常有帮助。在我们的病例中，尽管53%的患者存在脑脊液瘘，但这些骨折并未伴有高并发症或死亡率。
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