论文部分内容阅读
为了了解先天性肠闭锁临床、病理、治疗、预后及其相互关系,对52例经手术证实的肠闭锁患儿进行回顾性分析。53%患儿有胆汁样呕吐,7例生后48小时有少量胎粪排出。闭锁部位:空肠9例,回肠37例,结肠5例,全肠道闭锁1例。闭锁类型:隔膜型6例,盲袋型30例,多发型13例,Apple-peel型3例。42.3%患儿合并胎粪性腹膜炎或肠扭转。52例均行手术治疗,治愈40例,治愈率76.92%。肠造瘩疗效差。裁剪式吻合治愈率为88.46%,肠切除吻合术治愈率为68,75%。出现症状时间与闭锁部位有关,强调对闭锁近端扩张肠段切除和裁剪物合。就诊及治疗时间、腹腔严重合并症、术后并发症、再次手术、肠管保留长度及回盲瓣保存与否均是影响生存的重要因素。
In order to understand the clinical, pathological, therapeutic, prognostic and correlation of congenital intestinal atresia, 52 cases of surgically confirmed children with intestinal atresia were retrospectively analyzed. 53% of children had biliary vomiting, and a small amount of meconium was excreted in 7 cases 48 hours after birth. Blockage: jejunum in 9 cases, ileum in 37 cases, colon in 5 cases, total intestine atresia in 1 case. Latch type: diaphragm type in 6 cases, blind bag type in 30 cases, multiple hair type in 13 cases, Apple-peel type in 3 cases. 42.3% of children with meconium peritonitis or intestinal peristalsis. 52 cases were treated surgically, 40 cases were cured, the cure rate was 76.92%. Intestinal buccal curative effect is poor. The cure rate of cutting anastomosis was 88.46%, and the cure rate of intestinal resection and anastomosis was 68,75%. Symptoms of the time and the closure of the site, emphasizing the proximal proximal bowel expansion resection and cutting objects. Treatment and treatment time, severe abdominal complications, postoperative complications, reoperation, intestinal retention length and the preservation of the ileocecal valve are important factors that affect survival.