小儿肠重复畸形的分型与诊断  

The Diagnosis and Classification of Intestinal Duplication

作　　者：韩福友[1] 于泓 孙岩[1] 梁久文 姬舒荣[1] 陶文芳[1] 

机构地区：[1]哈尔滨医科大学附属第二医院小儿外科,150086 [2]哈尔滨市儿童医院

出　　处：《中华小儿外科杂志》1997年第2期91-93,共3页Chinese Journal of Pediatric Surgery

摘　　要：目的:提出小儿肠重复畸形的病理分型,以利于了解各型的临床特点。临床资料:本组84例,肠内膈膜型2例,肠壁囊肿型9例,肠外管状型31例,肠外囊肿型35例,孤立型1例。以腹块就诊的24例,肠梗阻41例,消化道出血15例,肠穿孔腹膜炎2例,其他手术意外发现2例。结果:本组皆采用手术治疗,82例痊愈。2例新生儿分别死于中毒性休克和肠瘘败血症。结论:熟知本病的各种病理类型,利于判断分析复杂的临床表现,可提高诊断率。Objective:To determine the pathological classification and clinical characteristics of intestinal duplication.Materials and methods:Most of 84 operated children with intestinal du- plication were identified by laparotomy.The pathological classifications were diaphragm type(2), intramural cystic type(9),tubular type(31),cystic type(35),and solitary type(1).The clinical presentations and complications included abdominal mass(24),ileus(41),hemorrhage(15)and in- testinal perforation assocaited with peritonitis(3).Results:Among them,82 recovered and two newborns died of intestinal fistula and septicemia,and toxic shock respectively.Conclusions: Keeping the pathological types,symptoms and complications in mind will increase significantly the diagnosis accordance.

关 键 词：肠重复畸形 病理 解剖 分型 诊断 外科手术 儿童 

分 类 号：R726.567[医药卫生—儿科]