基于产前诊断的产房外科模式下新生儿急诊手术  

The emergency delivery room surgery for neonate based on prenatal diagnosis.

作　　者：刘钢[1] 刘丽[1] 黄柳明[1] 贾钧[2] 时春艳[2] 王淑琴[2] 刘宝富[2] 王伟[1] 张然[1] 

机构地区：[1]北京军区总医院附属八一儿童医院小儿外科,100700 [2]北京大学第一医院,100016

出　　处：《临床小儿外科杂志》2010年第2期84-86,共3页Journal of Clinical Pediatric Surgery

基　　金：本研究为国家“十一五”科技支撑计划基金资助项目（项目号2006BAI05A06）

摘　　要：目的 探讨产房外科模式开展新生儿手术的组织实施及其对预后的影响.方法 回顾性分析22例产房外科手术病例的产前诊断、产前咨询、手术治疗、术后合并症以及预后情况.结果 22例中,脐膨出6例,腹裂4例,先天性膈疝7例,颈部淋巴管瘤2例,泄殖腔外翻1例,腰骶部脊膜膨出2例.所有患儿产前诊断与手术后诊断相符.均顺利完成手术,其中3例膈疝患儿术后死于肺发育不良,脐膨出和泄殖腔外翻各1例需2次手术,1例颈部淋巴管瘤术后复发.结论 在产前诊断明确后,合理选择产房外科模式实施手术可以改善严重结构异常新生儿的预后,减少并发症.Objective To investigate the performance of delivery room surgery and its influence of prognosis. Methods 22 neonates underwent surgery once born in delivery room between 2005 to 2009. We took a retrospective review about these cases included there prenatal diagnosis, anlepartum consuhation, operative procedures, postoperative complications and prognosis. Results All the operations were carried successfully. The final diagnosis was all coincidence with prenatal diagnosis. At last, three neonates with diaphragmatic hernia （tied of pulmonary hypoplasia after operation, two newborns respectively with omphalocele and exstrophy of cloaca need additional operation. One of cervical lymphangioma was recurrent after surgery. Conclusions Once the prenatal diagnosis was identified for a neonate, deliver）, room surgery could be a reasonable choice for a better prognosis and could depress complications.

关 键 词：产前诊断/方法 产科外科手术/方法 急症 婴儿 新生 

分 类 号：R472.3[医药卫生—护理学]