新生儿先天性十二指肠闭锁的诊断与治疗研究  

Study on diagnosis and treatment of congenital duodenal atresia

作　　者：罗贤茂[1] 

机构地区：[1]亳州市人民医院普外二科,安徽亳州236800

出　　处：《医药论坛杂志》2011年第24期35-36,共2页Journal of Medical Forum

摘　　要：目的探讨新生儿先天性十二指肠闭锁的诊断要点及治疗经验。方法现对亳州市人民医院2001年3月—2011年10月收治的21例先天性十二指肠闭锁患儿的临床资料进行回顾性分析。结果 21例中17例治愈存活,占80.95%,死亡3例,放弃治疗1例。并发症:吻合口裂开1例,吻合口瘘1例。肠粘连3例。3例行二次手术。死亡病例中死于呼吸衰竭1例,新生儿出血症1例,多器官功能衰竭1例。16例获得随访,随访时间1～10年,远期疗效满意。结论新生儿十二指肠闭锁为先天性疾病,产前B超可早期诊断。手术方式的选择应根据具体情况分别采用十二指肠隔膜切除、十二指肠十二指肠菱形吻合术及十二指肠空肠吻合术等比较常用的治疗方法。但术中需注意双隔膜的存在及其他伴发畸形的矫治,同时加强围手术期的综合管理。Objective To investigate the diagnosis and treatment experience of congenital duodenal atresia.Methods Our hospital in March 2009-October 2011,clinical data of admitted 21 cases of congenital duodenal atresia were retrospectively analyzed.Results In 21 cases,17 patients were cured and survived,accounting for 80.95%,3 patients died,gave up treatment in 1 case.Complications： anastomotic dehiscence in 1 case,anastomotic leakage in 1 case.Adhesions in 3 patients.3 cases of two surgeries.Deaths from respiratory failure in 1 case of neonatal hemorrhagic disease in 1 case,multiple organ failure in 1 case.16 cases were followed up for 1 to 10 years,long-term results were satisfactory.Conclusions Neonatal duodenal atresia is congenital,B-ultrasound can early prenatal diagnosis.Choice of surgical approach should be based on the specific circumstances of duodenal diaphragm resection were used,diamond-shaped anastomosis and duodenal duodenum duodenum anastomosis and other commonly used treatments.However,we should pay attention to the existence of double-diaphragm and other abnormalities associated with treatment,while strengthening the comprehensive perioperative management.

关 键 词：十二指肠闭锁 先天性 新生儿 诊断 

分 类 号：R656.6[医药卫生—外科学]