先天性胃壁肌层缺损的诊治体会  

Diagnosis and treatment of congenital gastric wall myometrial defect

作　　者：欧文辉[1] 李建宏[1] OU Wenhui;LI Jianhong(Department of Pediatric Surgery,the Second Affiliated Hospital of Shantou University Medical College,Shantou 515000,China)

机构地区：[1]汕头大学医学院第二附属医院小儿外科

出　　处：《汕头大学医学院学报》2019年第4期228-230,共3页Journal of Shantou University Medical College

摘　　要：目的:总结先天性胃壁肌层缺损的临床表现及诊治措施。方法:回顾性分析2003年6月至2018年6月汕头大学医学院第二附属医院收治的23例先天性胃壁肌层缺损患儿的临床资料。结果:23例先天性胃壁肌层缺损患儿中,男13例,女10例,发病日龄1~6 d,均在入院后6 h内进行手术,术中及术后病理均证实为先天性胃壁肌层缺损。21例治愈,2例死亡。结论:早诊断、早治疗以及围手术期的合理管理能提高先天性胃壁肌层缺损患儿的治愈率,胃壁缺损面积的大小是手术成功的关键。Objective:To summarize the clinical manifestations,diagnosis and treatment of congenital gastric wall myometrial defect. Methods: The clinical data of 23 children with congenital gastric wall myometrial defect from June 2003 to June 2018 in the Second Affiliated Hospital of Shantou University Medical College were analyzed retrospectively. Results: Among 23 children with congenital gastric wall myometrial defect,13 were male and 10 were female. The age of onset was 1-6 days. All of them were operated within 6 hours after admission. The pathological changes during and after operation confirmed the congenital gastric wall myometrial defect. 21 cases were cured and 2 cases died. Conclusion: Early diagnosis, early treatment and reasonable perioperative management can improve the cure rate of children with congenital gastric wall myometrial defect. The size of gastric wall defect area is the key to the success of the operation.

关 键 词：先天性胃壁肌层缺损 新生儿 消化道穿孔 

分 类 号：R725.7[医药卫生—儿科]