新生儿巨型脐膨出的治疗策略  

Treatment strategy for neonatal giant omphalocele

作　　者：钭金法[1] Tou Jinfa(Department of Neonatal Surgery,Children s Hospital,Zhejiang University School of Medicine,National Clinical Research Center for Children s Health,Hangzhou 310052,China.)

机构地区：[1]国家儿童健康与疾病临床医学研究中心,浙江大学医学院附属儿童医院新生儿外科,浙江省杭州市310052

出　　处：《临床小儿外科杂志》2020年第4期292-296,共5页Journal of Clinical Pediatric Surgery

摘　　要：巨型脐膨出是新生儿外科治疗的难点。随着外科技术的进步、监护水平的提高和医用材料的发展,巨型脐膨出的治疗方法不断进展。巨型脐膨出常伴有多种其他脏器畸形,故目前尚没有一种标准方法适合于所有巨型脐膨出。本文根据巨型脐膨出当前国内外治疗现状,结合作者多年诊治经验,阐述新生儿巨型脐膨出治疗中各种方法的特点和不足,指出巨型脐膨出的治疗应根据患儿腹腔发育情况、伴发畸形的程度、膨出脏器的多少、囊膜情况以及心肺功能状态等综合判断,根据不同情况采取不同的治疗策略。Neonatal surgery of giant omphalocele has been a difficult task.With the development of surgical technology,the improvement of monitoring level and the advancement of medical materials,the treatments of giant omphalocele have greatly progressed.However,the characteristics of children with giant omphalocele vary a lot and other organ deformities may co-exist.Thus no single method is suitable for all children.According to current status of treatment for giant omphalocele in the world,combined with the author s own experience,the characteristics and deficiencies of various methods in the treatment of neonatal giant omphalocele were summarized.Optimal treatment of giant omphalocele under different conditions depends upon overall development assessments of abdominal cavity,associated deformities,volume of bulging organs,condition of capsule and cardiopulmonary functions.

关 键 词：疝 脐/诊断 疝 脐/外科学 修复外科手术 治疗结果 

分 类 号：R726.1[医药卫生—儿科] R657.7[医药卫生—临床医学]