新生儿肠闭锁的手术治疗效果  

SURGICAL OUTCOME OF NEONAT AL INTESTINAL ATRESIA

作　　者：刘桂海[1] 

机构地区：[1]山东省立医院小儿外科,山东济南250021

出　　处：《青岛大学医学院学报》2005年第4期337-338,共2页Acta Academiae Medicinae Qingdao Universitatis

摘　　要：①目的探讨新生儿肠闭锁的手术治疗效果,以提高治愈率.②方法对1990～2004年外科治疗新生儿肠闭锁82例的临床病理资料进行回顾性分析.③结果治愈率84.1%,二次手术4例,术后放弃治疗及死亡13例.④结论充分保留肠管长度,裁剪端-背吻合有助于肠功能恢复,减少并发症.静脉营养应用和促进肠功能恢复可提高治愈率.闭锁部位及病理类型,手术方式,围手术期管理,以及并发畸形等是影响预后的主要因素.Objective To study the surgical effect of neonatal intestinal atresia so as to increase the healing rate. Methods A retrospective analysis was made for 82 cases of neonatal intestinal atresia treated surgically from 1990 to 2004 in our hospital. Results The healing rate was 84.%. A second operation was performed in four cases. Thirteen died after operation. Conclusion The site of atresia, pathological type, surgical methods, perioperative care, and combined malformations are the main factors affecting the prognosis. It is advantageous to keep the intestine sufficiently long and tailor for tip-back anastomosis for early recovery of intestinal function and decrease of complications. The use of parenteral nutrition promotes the recovery of intestinal function and increases the healing rate.

关 键 词：婴儿 新生 肠闭锁 外科手术 胃肠外营养 

分 类 号：R726.5[医药卫生—儿科]