先天性肠闭锁的手术治疗及影响预后的因素(附40例报告)  

SURGICAL TREATMENT AND PROGNOSIS OF CONGENITAL INTESTINAL ATRESIAREPORT OF 40 CASES

作　　者：钟麟[1] 曾蓉君[1] 向波[1] 郎诗民[1] 

机构地区：[1]华西医科大学附属第一医院小儿外科,成都610041

出　　处：《中国普外基础与临床杂志》2001年第6期401-402,共2页Chinese Journal of Bases and Clinics In General Surgery

摘　　要：目的　探讨先天性肠闭锁的手术治疗方法及影响预后的因素。方法　总结分析 40例先天性肠闭锁的临床资料 :十二指肠闭锁 6例 ,空肠闭锁 12例 ,回肠闭锁 2 0例 ,结肠闭锁 2例 ;隔膜型 10例 ,盲端型 2 6例 ,多节段型 4例。术前均获确诊。拒治 4例 ,手术治疗 36例。结果　手术 36例治愈存活 2 6例 ,术后存活率为 72 % ;2 0例术后随访 1～ 2 1年 ,疗效满意。术后死亡 10例。结论　手术是治疗本病的唯一手段 ,手术方式应根据闭锁部位及类型来选择。本病的疗效及预后受多种因素的影响。Objective To investigate th e operative methods and the factors affecting the prognosis of congenital intestin al atresia. Methods The clinic data of 40 cases of congeni tal intestinal atresia was reviewed, including duodenal atresia (6), jejunal a tresia (12), ileum atresia (20) and colonic atresia (2). The types of atrasia were septal type (10),blind-end type (26), and multisegmental type (4). All h ad been diagnosed before operation, 4 patients refused the treatment and 26 cas es accepted the operation. Results Twenty-six cases of the 36 which acce pted operation were cured and survived,the rate of postoperative survival were 72%,postoperative follow-up of 20 patients for 1- 21 years had well-pleasing curative effect.Ten cases died postoperativ ely. Conclusion Operation is the only treatment of this disease,the mode of operation should be selected depending on the site an d the type of atresia. The curative effect and the prognosis of this disease are affected by multiple factors.

关 键 词：先天性肠闭锁 预后 外科手术 影响因素 新生儿 

分 类 号：R726.2[医药卫生—儿科]