摘要
目的总结小儿环状胰腺的产前诊断、围产期管理、早期手术的系统化诊疗。方法选取2007年9月至2015年3月我院收治的36例产前诊断为环状胰腺患儿的病例资料,对其产前诊断、围产期管理、影像学检查、手术治疗及预后等资料进行回顾性分析。结果同期收治产前超声诊断为十二指肠梗阻的52例患儿中,36例手术证实为环状胰腺。产前超声检查显示"双泡征"30例,"羊水过多"24例。其中30例分娩后当日即转运至我院,行十二指肠-十二指肠菱形吻合术治疗,均痊愈出院。结论产前诊断、生后按计划转诊、早期手术治疗逐渐成为环状胰腺的主流管理模式。新生儿腔镜技术的发展应用进一步提高了本病疗效。
Objective To explore and establish the systematic diagnosis and treatment of annular pancreas in chil- dren. Methods Thirty-six cases of annular pancreas cases in our hospital during September 2007 and November 2015 were enrolled. The prenatal diagnosis, perinatal management, imaging examinations, surgical treatment and prognosis were retrospectively analyzed. Results During the same period, prenatal ultrasound diagnosis of duodenal obstruction was confirmed by surgery as annular pancrease in our hospital among 52 cases. This group of prenatal ultrasonic examina- tion showed ＂double bubble sign＂ in 30 cases, 24 cases presented as ＂hydramnios＂. Thirty cases were transferred on the day of the transfer after delivery to the hospital. Line of duodenal-duodenal diamond anastomosis treatment, were recovered. Conclusion Prenatal diagnosis, referral as planned, early surgical treatment after gradually become the mainstream management mode. It is worth further exploration in the treatment of the annular pancreas laparoscopic technology.
出处
《北京医学》
CAS
2016年第8期792-794,共3页
Beijing Medical Journal
关键词
环状胰腺
产前诊断
围产期管理
十二指肠菱形吻合术
annular pancreas
prenatal diagnosis
perinatal management
duodenal diamond anastomosis
