CAJ | 학술논문

目的探讨新生儿肠闭锁的外科诊断、治疗及降低死亡率的影响因素.方法回顾性分析新生儿肠闭锁88例的临床资料、影像、病理类型、手术治疗及疗效.结果本组治愈76例,治愈率86.3%,其中8例进行了2次手术(包括6例粘连性肠梗阻、2例吻合口瘘).术后死亡及放弃治疗12例(包括合并肠扭转3例,短肠综合征2例,胆道闭锁1例,肛门闭锁1例).结论早诊断,增加患儿出生体重,降低合并严重畸形患儿出生率,选择合适的手术方式,根据闭锁两端肠管的病理改变拟定的肠切除范围可作为临床参考,可减少并发症发生,降低死亡率.
목적탐토신생인장폐쇄적외과진단、치료급강저사망솔적영향인소.방법회고성분석신생인장폐쇄88례적림상자료、영상、병리류형、수술치료급료효.결과본조치유76례,치유솔86.3%,기중8례진행료2차수술(포괄6례점련성장경조、2례문합구루).술후사망급방기치료12례(포괄합병장뉴전3례,단장종합정2례,담도폐쇄1례,항문폐쇄1례).결론조진단,증가환인출생체중,강저합병엄중기형환인출생솔,선택합괄적수술방식,근거폐쇄량단장관적병리개변의정적장절제범위가작위림상삼고,가감소병발증발생,강저사망솔.
Objective To study the diagnosis and treatment of the congenital intestinal atresia in newborn infants, discuss the factors affecting prognosis. Methods The clinic data of 88 cases with the congenital intestinal atresia, including the imaging data, pathological types, surgery methods and curative effective, was retrospectively analyzed. Results 76 of 88 cases were cured, total cure rate was 86.3%. 8 cases were operated secondly because of adhesive elius or stoma fistula. 12 cases including 3 cases with volvulus, 2 cases with SBS, 1 case with biliary atresia, 1 case with anal atresia, gave up treatment during or after operation. Conclusion Early diagnosis, reducing the motality of the infants associated other anomalies, choosing the proper operational methods, choosing the proper length intestinal resection, can reduce the complication and degrade the mortality.