临床小儿外科杂志2024，Vol.23Issue(2)：113-118,6.DOI:10.3760/cma.j.cn101785-202312054-003
π型截骨术后辅助头盔治疗与颅骨重建术治疗婴幼儿非综合征型矢状缝早闭的疗效比较
A comparison of π craniectomy plus orthopedic helmet versus cranial vault remodeling for non-syn-dromic premature sagittal suture in infants
张迪 1葛明 1马文平 1李大鹏 1郑铁华2
作者信息
- 1. 国家儿童医学中心(北京)首都医科大学附属北京儿童医院神经外科,北京 100045
- 2. 国家儿童医学中心(北京)首都医科大学附属北京儿童医院麻醉科,北京 100045
- 折叠
摘要
Abstract
Objective To compare the perioperative risk factors and postoperative efficacy ofπcraniectomy plus orthopedic helmet versus cranial vault remodeling for non-syndromic premature sagittal su-ture and examine the advantages and disadvantages of two treatments to provide references for formulating indi-vidualized treatment plans for infantile non-syndromic sagittal premature closure.Methods From May 2018 to May 2023,retrospective review was conducted for hospitalized infants with non-syndromic sagittal premature clo-sure.Perioperative data,perioperative cephalic index and intracranial volume were statistically examined.T test was utilized for normal distribution data and Mann-Whitney test for non-normal distribution data.P＜0.05 im-plied statistically significant inter-group difference.Results There were 11 children(8 boys,3 girls)in πcraniectomy plus orthopedic helmet group.Cranial vault remodeling group included 6 children(4 boys,2 girls).No significant inter-group difference existed in pericephalic index or preoperative intracranial volume(P＞0.05).Preoperative cephalic index[(0.72±0.06)vs.(0.67±0.04)],postoperative cephalic index[(0.77±0.06)vs.(0.73±0.01)]and preoperative intracranial volume[(753.54±94.25)vs.(812.02± 79.89)ml].However,differences of statistical significance existed in age[(8.23±2.10)vs.(14.57±5.54)month],operation duration[(2.24±0.22)vs.(5.00±0.52)h],intraoperative volume of blood loss[(70.0(57.5,122.5)vs.120.0(100.0,127.5)mL],hospitalization expense[31355.0(27595.0,37554.0)vs.116414.5(98185.3,124383.5)yuan]and postoperative follow-up intracranial volume[(823.72±93.94)vs.956.54±149.31)mL](P＜0.05).Conclusions Both πcraniectomy plus orthopedic helmet and cranial vault remodeling may improve intracranial volume and cephalic index of infants with non-syndromic premature sagittal suture.However,π craniectomy plus orthopedic helmet offers the advantages of shorter operative dura-tion,less intraoperative volume of hemorrhage and lower hospitalization expense.Cranial vault remodeling is re-served for postoperative expansion of intracranial volume.关键词
颅缝早闭/矢状缝早闭/外科手术/颅骨切除术/治疗结果/婴儿/儿童Key words
Craniosynostoses/Sagittal Synostosis/Surgical Procedures,Operative/Craniectomy/Treatment Outcome/Infant/Child引用本文复制引用
张迪,葛明,马文平,李大鹏,郑铁华..π型截骨术后辅助头盔治疗与颅骨重建术治疗婴幼儿非综合征型矢状缝早闭的疗效比较[J].临床小儿外科杂志,2024,23(2):113-118,6.
