小肠内置管排列术在新生儿胎粪性腹膜炎治疗中的作用  

Effect of internal intestinal splinting on neonatal meconium peritonitis

作　　者：谷雅川[1] 黄华[1] 陈琦[1] Gu Yachuan;Huang Hua;Chen Qi(Department of Pediatric General Surgery,the Third Affiliated Hospital of Zhengzhou University,Zhengzhou 450052,China)

机构地区：[1]郑州大学第三附属医院小儿普外科,450052

出　　处：《中国实用医刊》2018年第23期63-65,共3页Chinese Journal of Practical Medicine

摘　　要：目的探讨小肠内置管排列术在新生儿胎粪性腹膜炎治疗中的作用。方法回顾性分析2008-2016年郑州大学第三附属医院收治的21例采用小肠内置管排列术治疗新生儿胎粪性腹膜炎患儿的临床资料。结果21例患儿中,15例术后顺利康复;肠瘘1例,经保守治疗后痊愈;切口裂开2例,再次手术缝合切口后痊愈;死亡3例。18例患儿经1个月~8年随访,均未出现粘连性肠梗阻。结论对于新生儿胎粪性腹膜炎患儿,小肠内置管排列术是一种可靠、有效的术式。Objective To summarize the clinical experience and efficacy of internal intestinal splinting on neonatal meconium peritonitis.Methods Clinical data of 21 neonates with meconium peritonitis who were treated by internal intestinal splinting in the Third Affiliated Hospital of Zhengzhou University from 2008 to 2016 were analyzed retrospectively.Results Among the 21 neonates,15 neonates recovered successfully with no postoperative complication;one neonate presented intestinal fistula after intestinal resection and was cured by conservative treatment;and the wounds of 2neonates disrupted,but healed after suturing incision again;3 neonates died.There was no intestinal obstruction among the 18 neonates during followed-up from 1 month to 8 years.Conclusions Internal intestinal splinting is a reliable and effective treatment method for meconium peritonitis.

关 键 词：肠排列术 内支撑管 胎粪性腹膜炎 新生儿 

分 类 号：R726.5[医药卫生—儿科]