Melek VOLKAN-YAZICI, Harun Demi̇rci̇
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摘要

目的:应用内窥镜缝合术和重建头盔治疗婴幼儿矢状面颅缝闭塞。长期影响和完成头盔重塑治疗后发生的影响尚未调查。本研究的目的是探讨重塑头盔的长期效果和完成重塑头盔治疗后的效果。材料和方法:14名婴儿被纳入研究。术后、头盔重塑完成后以及随访6个月时,使用3D激光采集系统对患儿进行评估。评估颅前后(AP)、中外侧(ML)测量、颅围(CC)、对角测量、头位比(CR)和颅拱顶不对称指数(CVAI)。结果:婴儿使用重塑头盔35±3.4周。术后及完成检查结果可以看出,在重塑头盔使用时间内,AP、ML、CC测量、CR、CVAI均有统计学意义上的改善,导致颅骨形状正常化(p0.05),婴儿颅骨继续以正常速度生长。结论:目前的研究表明,当重塑头盔治疗完成后,颅骨发育继续以正常速度进行。从长期来看,颅对称性没有恶化,并且在重塑头盔治疗完成后,治疗的有效性仍在继续。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Sagital Kraniosinostoz Tanılı Bebeklerde Endoskopik Süturektomi Sonrası Kask Tedavisinin Uzun Süreli Takibi
Objective: Infants with sagittal craniosynostosis are treated with endoscopic suturectomy and remodeling helmets. The long term effects and the effects that occur after the completion of remodeling helmet treatment have not been investigated. The purpose of this study is to investigate the long term effects of remodeling helmet and effects that occur after the completion of remodeling helmet treatment. Material and Methods: 14 infants were included in the study. The children were assessed post-op, after the completion of remodeling helmet and at 6 months’ follow-up using a 3D laser acquisition system. The anterior-posterior(AP), medio-lateral(ML) cranial measurements, cranial circumference(CC), diagonal measurements, cephalic ratio(CR) and cranial vault asymmetry index(CVAI) were assessed. Results: The infants used the remodeling helmet for 35±3.4 weeks. When the post-op and completion results are examined, it can be seen that during remodeling helmet usage duration, AP, ML, CC measurements, the CR and CVAI have statistically improved, resulting in normalization of cranial shape (p<0.05). When the follow up results are examined, it can be seen that there was no deterioration in the symmetry of the cranial shape and the AP, ML, CC measurements and the CR and CVAI were preserved (p>0.05) whilst the infants’ craniums continued to grow at a normal rate. Conclusion: The present study shows that when remodeling helmet therapy is completed, cranial development continues at normal rates. There is no deterioration in cranial symmetry in the long term, and the effectiveness of the treatment continues after the remodeling helmet therapy is completed. 
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