摘要
目的总结新生儿肠闭锁的诊断和治疗。方法对40例先天性肠闭锁的患儿进行回顾性分析,其中十二指肠闭锁8例,空肠闭锁8例,回肠闭锁24例;Ⅰ型15例,Ⅱ型6例,Ⅲa型17例,Ⅲb型(Apple-peel)1例,Ⅳ型1例;行隔膜切除纵切横缝术5例,行肠侧侧菱形吻合术6例,行肠切除端端或端斜吻合术28例,肠管裁剪端端吻合(Tapering整形术)1例。结果术后吻合口梗阻5例,吻合口瘘3例,切口裂开2例。术后死亡3例,弃医1例。治愈36例,治愈率90%。结论早期诊断和选择合理的术式是提高肠闭锁治愈率,减少并发症的关键因素,静脉营养的应用促进肠功能的恢复。
Objective To summarize the borns. Methods The clinic data of 40 cases diagnosis and treatment of intestinal atresia in newof congenital intestinal atresia were reviewed, including duodenal atresia（8）, jejunal atresia（8） and ileum atresia（24）. The types of atresia were type Ⅰ（15）, type Ⅱ（6）, type Ⅲa（17）, type Ⅲb（1） and type Ⅳ（1）. 5 patients were treated with septum resection and then anastomosed longitudinally, 6 underwent diamond duodeno-duodenostomy, 28 underwent end-to-end or end-to-back anastomose and one underwent Tapering operation. Results There were 5 eases of obstruction of anastomatic stoma, 3 eases of anastomatic leakage and 2 cases of wound disruption. 3 eases died postoperatively, and one patient was given up for postoperatively treatment. 36 were cured making the cure rate of 90%. Conclusions Early diagnosis and an appropriate surgical procedure are crucial to improve the cure rate as well as decrease the complications. Total parenteral nutrition（TPN） management can promote the recovery of bowel function.
出处
《临床小儿外科杂志》
CAS
2005年第4期263-265,共3页
Journal of Clinical Pediatric Surgery
关键词
肠闭锁
Intestinal Atresia
