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目的总结自体脐带修补腹裂的临床经验,评价手术疗效。方法共施行婴儿自体脐带修补腹裂22例,对成活的18例进行随访观察,观察体格发育、智力测定、腹部手术区域等情况。结果22例患婴成活18例,成活率82%,成活18例生长发育良好。术后近期均有腹壁疝,9例自愈,2例行腹壁疝修补,7例仍在观察中。结论该手术取材方便,自体脐带无抗原性,具有一定的弹性,能有效地缓解术后腹部压力,成活率高。
Objective To summarize the clinical experience of autologous umbilical cord repair meridians and evaluate the curative effect. Methods A total of 22 infants with autologous umbilical cord repair meridians were treated with the method. Follow-up observation was made on the 18 surviving cases. Physical development, mental tests and abdominal surgery were observed. Results 22 cases of infants survived in 18 cases, the survival rate of 82%, 18 cases of survival and development of good growth. Abdominal hernia was found in all cases recently, 9 cases were self-healing, 2 cases were treated by abdominal wall hernia and 7 cases were still under observation. Conclusion The operation is easy to take, the autologous umbilical cord has no antigenicity, has some elasticity, can effectively relieve postoperative abdominal pressure, high survival rate.