31例脐膨出的临床治疗方法  

Clinical treatment 31 cases of acromphalus

作　　者：陈玉喜[1] 

机构地区：[1]漳州卫生职业学院外科,363000

出　　处：《中国实用医药》2010年第29期44-45,共2页China Practical Medicine

摘　　要：目的总结和分析31例脐膨出合并多种畸形的临床特征和外科治疗方法。方法对31例脐膨出合并多种畸形的临床特征和外科治疗资料进行分析,其中巨型18例;小型13例;14例合并各种先天性畸形共17种23畸次;2例巨型脐膨出合并美克尔憩室,此点与国外文献报道不甚一致;3例合并低血糖,其中1例为脐膨出合并巨舌巨体综合征;12例巨型脐膨出采用血氧饱和度监测下,无菌手套+涤纶片修补,分期治疗巨型脐膨出,不需术后呼吸机辅助呼吸,获得成功。结果小型脐膨出13例(除1例合并5种畸形家长放弃治疗死亡外),均采用一期腹壁修补术治愈。巨型脐膨出12/18治愈。结论小型脐膨出可采用一期腹壁修补术。巨型脐膨出,12例我们采用血氧饱和度监测下无菌手套+涤纶片修补,分期治疗获得成功。本术式不需术后呼吸机辅助呼吸,安全、经济,适合基层医院使用。Objective To summarize and analyze clinical feature and surgical treatment of 30 cases of acromphalus affiliate deformity.Methods 31cases of acromphalus affiliate deformity,18 cases giant and 13 small.14 cases of acromphalus affiliate deformity,17 kinds and 23 times,2 cases giant affiliate Meckel diverticulum,which report disconformity with abroad literature.3 cases affiliate glycopenia,one of which complicating with Beckwih-Wiedemen syndrome.Staging closure of 12 giant cases using sterile gloves and terylene patch under oxygen saturation monitoring without postoperation respirator.Results 13small cases cured by primary closure,except that 1 affiliate with 5 kinds of deformity was given by his parents.Cure rate of giant acromphalus is 12/18.Conclusion Small acromphalus can be cured by primary closure.Giant acromphalus can be cured by staging closure using sterile gloves and terylene patch under oxygen saturation monitoring without postoperation respirator,which is a safe,reliable and economic treatment suitable for basic level hospital.

关 键 词：脐膨出 美克尔憩室 无菌手套修补 

分 类 号：R656[医药卫生—外科学]