自体脐带修补先天性腹裂的远期疗效评估  

Appraisal of the repair gastroschisis with autogenous umbilical cord

作　　者：黄华[1] 侯广军[1] 邵雷鹏[1] 耿宪杰[1] 张二划[1] 王献良[1] 齐林[1] 黄敏[1] 

机构地区：[1]郑州市儿童医院外一科,450053

出　　处：《中国医师进修杂志》2009年第3期15-17,共3页Chinese Journal of Postgraduates of Medicine

摘　　要：目的总结应用自体脐带修补先天性腹裂手术的经验，评价手术远期疗效。方法1992年8月至2007年10月采用自体脐带修补先天性腹裂30例，观察息儿体格发育、智力测定、腹部手术区域情况、是否需二期手术修补等。同时与采用传统手术方法修补先天性腹裂15例进行比较。结果自体脐带修补先天性腹裂30例患儿中成活26例，死亡2例，放弃治疗2例，成活率86．7％。成活26例患儿生长发育良好。采用传统手术方法修补先天性腹裂15例患儿中成活5例，成活率33．3％。两种术式患儿在成活率、住院时间、手术时间及呼吸机使用时间进行比较，差异均有统计学意义（P〈0．05）。结论自体脐带修补先天性腹裂手术取材方便，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，患儿成活率高。Objective To review the treatment of repair gastroschisis with autogenous umbilical cord and evaluate its effect. Methods Thirty newborns who underwent the repair gastroschisis with autogenous umbilical cord between August 1992 to October 2007, 26 cases survived under observed and followed-up, observing physical growth, intelligence measuring and whether the area of operated in abdomen need staged repair or not. Compared with 15 cases who underwent traditional operation method at the same time. Results Two cases died, 2 cases abandoned, and 26 case received survive （survive rate 86.7% ）and their growth was well in 26 cases. But in those 15 cases who underwent traditional operation method, 5 cases survived （survive rate 33.3% ）. There were significant difference in the survive rate, the mean operative time and postoperative hospital stay time between the two operation methods （P 〈 0.05）. Conclusion The material is adopted easily in the operation, autogenous umbilical cord is elastic tissue and no toxicity, it can relax the abdominal press effectively after the operation, the survive rate is high.

关 键 词：脐带 腹裂 修复外科手术 评价研究 

分 类 号：R726[医药卫生—儿科]