立体定向和功能性神经外科杂志 ›› 2025, Vol. 38 ›› Issue (4): 238-241.DOI: 10.19854/j.cnki.1008-2425.2025.04.0008

• 论著 • 上一篇    下一篇

105例新生儿骨膜下血肿并骨化的临床特点和诊疗体会

董新亚, 张刚, 张向凯, 罗国强   

  1. 710000 西安 西安交通大学附属儿童医院(董新亚,张刚,张向凯),中国人民解放军空军军医大学第二附属医院神经外科(罗国强)
  • 收稿日期:2025-07-25 出版日期:2025-08-25 发布日期:2026-02-25
  • 通讯作者: 罗国强 616823983@qq.com

Clinical characteristics and treatment experience of 105 cases of neonatal cssified cephalhematoma

Dong Xinya1, Zhang Gang1, Zhang Xiangkai1, Luo Guoqiang2   

  1. 1. Department of Neurosurgery,The Affiliated Children's Hospital of Xi'an Jiaotong University;
    2. Department of Neurosurgery,the Second Affiliated Hospital of the Air Force Medical University,Xi'an,710000,China
  • Received:2025-07-25 Online:2025-08-25 Published:2026-02-25
  • Contact: Luo Guoqiang 616823983@qq.com

摘要: 目的 探讨新生儿骨膜下血肿并骨化的临床特点及治疗体会。方法 回顾性西安交通大学附属儿童医院神经外科收治的新生儿骨膜下血肿并骨化的临床资料,对新生儿骨膜下血肿并骨化的特点进行分析总结并归纳其临床特点。结果 105例确诊为新生儿骨膜下血肿并骨化的患儿中,98例(94%)由骨膜下血肿演变而来,多考虑出生相关损伤。7例(6%)由颅脑外伤导致。所有患儿的病变均位于顶部。所有患儿均行异常骨质切除+颅骨成形术,手术效果满意。术后颅骨形态良好,无术后并发症。结论 早期干预对于预防新生儿骨膜下血肿并骨化至关重要,一旦骨化形成,需积极外科治疗。手术效果肯定,预后良好。

关键词: 新生儿头皮血肿, 骨化, 手术, 预后

Abstract: Objective To explore the clinical characteristics and treatment experiences of neonatal cssified cephalhematoma. Methods By collecting and retrospectively analyzing the clinical data of neonatal cssified cephalhematoma treated in the Department of Neurosurgery in Xi'an Children's Hospital.The characteristics of neonatal cssified cephalhematoma were analyzed and summarized. Results Of the 105 confirmed cases of neonatal cssified cephalhematoma,98 cases (94%) had birth trauma,and 7 cases (6%) had traumatic brain injuries.All lesions were located on the top of the skull.All patients underwent abnormal bone resection and cranial reconstruction surgery,with satisfactory surgical outcomes.Postoperatively,the surgical treatment is effective with good prognosis.There were no postoperative complications. Conclusion Early intervention is crucial for preventing neonatal cssified cephalhematoma.Once ossification occurs,active surgical treatment is required.The surgical treatment is effective with good prognosis.

Key words: Neonatal cephalohematomal, Cssified, Operation, Prognosis

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