新生儿腹裂的诊治进展  

Progress of diagnosis and treatment of gastroschisis

作　　者：蔡纯(综述) 俞钢(审校) Cai Chun;Yu Gang(Department of Pediatric Surgery,the Third Affiliated Hospital of Guangzhou Medical University,Guangzhou 510510,China)

机构地区：[1]广州医科大学附属第三医院小儿外科,510510

出　　处：《国际儿科学杂志》2020年第8期544-547,共4页International Journal of Pediatrics

摘　　要：腹裂是一种新生儿少见的腹壁发育畸形,具体病因尚未明确。胎儿时期,超声检查是诊断腹裂的重要手段。腹裂通常位于脐带右侧,需要产后及时干预。胎儿有发生宫内生长受限、早产和宫内胎儿死亡等风险。此外,复杂型腹裂合并肠道并发症的存在,如肠闭锁、狭窄,肠坏死或穿孔。早期诊断与及时的外科干预是改善患儿预后的关键。该文对腹裂的诊断手段和治疗方式进行综述,以期为临床工作提供帮助。Gastroschisis is a rare abdominal wall malformation in newborns.The specific etiology of gastroschisis has not been identified.In the fetal period,ultrasound examination is instrumental for a definite early diagnosis.Abdominal fissure is usually located to the right of the umbilical cord and requires immediate postpartum intervention.Fetuses are at risk of intrauterine growth restriction,premature delivery and intrauterine fetal death.In addition,complex ventral fissures are associated with intestinal complications,such as intestinal atresia,intestinal stenosis,intestinal necrosis or perforation.Early diagnosis and timely surgical intervention are the key to improve the prognosis of gastroschisis.This review summarizes the diagnosis and treatment of gastroschisis to provide information for clinical practice.

关 键 词：腹裂 新生儿 产前诊断 治疗 

分 类 号：R71[医药卫生—妇产科学]