论文部分内容阅读
目的探讨先天性肠闭锁产前超声诊断价值及分析影响预后相关因素。方法回顾性分析74例先天性肠闭锁患儿的产前诊断资料、临床资料、随访资料,对产前超声诊断、病死率和并发症进行统计学分析。结果治愈出院65例,院内死亡3例,放弃治疗出院死亡6例。与42例生后诊断比较,31例产前超声诊断患儿就诊时间短,肠穿孔的发生率低,但合并畸形、短肠综合征、肠梗阻的发生率高(P<0.05)。Ⅲ、Ⅳ型先天性肠闭锁预后较Ⅰ、Ⅱ型差(P<0.05)。闭锁位于空肠较十二指肠和回肠的预后差(P<0.05)。早产、术后肠梗阻是影响先天性肠闭锁病死率的主要因素(P<0.05)。结论对怀疑有肠闭锁孕妇,需重视产前超声诊断。早产、术后肠梗阻是影响先天性肠闭锁患儿预后的独立因素。
Objective To investigate the value of prenatal ultrasound in the diagnosis of congenital intestinal atresia and analyze the factors that influence the prognosis. Methods A retrospective analysis of 74 cases of congenital intestinal atresia in children with prenatal diagnosis data, clinical data, follow-up data, prenatal ultrasound diagnosis, mortality and complications were statistically analyzed. Results 65 cases were cured, 3 died in the hospital, and 6 cases were given up for discharge after treatment. Compared with 42 cases of postnatal diagnosis, 31 cases of prenatal ultrasound diagnosis of children with short treatment time, the incidence of intestinal perforation is low, but the combined malformations, short bowel syndrome, intestinal obstruction was a high incidence (P <0.05). Ⅲ and Ⅳ congenital intestinal atresia prognosis than Ⅰ, Ⅱ type difference (P <0.05). The outcome of the lock in the jejunum was worse than that in the duodenum and ileum (P <0.05). Preterm birth and postoperative intestinal obstruction were the main factors affecting the mortality of congenital intestinal atresia (P <0.05). Conclusion For pregnant women suspected of having intestinal atresia, prenatal ultrasound should be emphasized. Preterm birth, postoperative intestinal obstruction is an independent factor affecting the prognosis of children with congenital intestinal obstruction.