120例新生儿肠闭锁术后影响因素分析  

Analysis of Influencing Factors after Intestinal Atresia in 120 Neonates

作　　者：练涛峰 樊亮 杜酉寅 LIAN Tao-feng;FAN Liang;DU You-yin(Department of Pediatric Surgery,Huizhou First Maternal and Child Health Hospital,Huizhou 516001,Guangdong Province,China)

机构地区：[1]惠州市第一妇幼保健院小儿外科,广东惠州516001

出　　处：《罕少疾病杂志》2021年第6期82-83,共2页Journal of Rare and Uncommon Diseases

基　　金：惠州市技术研究与开发资金计划项目(2012C032)。

摘　　要：目的探讨新生儿肠闭锁术后的影响因素。方法回顾性分析本院2015年1月至2019年12月收治的先天性肠闭锁患儿资料,包括性别、胎龄、入院年龄、合并畸形、并发症及预后等,并进行统计学分析。结果120例肠闭锁患儿中,男53例,女67例;双胞胎2例;早产儿34例,足月儿86例;入院年龄30min~30d;入院体重1420~4250g,其中低出生体重儿14例;通过产前超声发现23例;14例合并其它先天畸形;因病情严重放弃治疗死亡14例,且性别和胎粪性腹膜炎患病情况在存活组与死亡组间的差异无统计学意义,早产、低出生体重、闭锁部位、病理分型、短肠综合征、吻合口瘘、功能性肠梗阻和畸形在两组间的分布差异均有统计学意义。结论新生儿肠闭锁需要根据新生儿体重、闭锁部位及病理类型确定救治方案,合并短肠综合征、吻合口瘘、功能性肠梗阻和畸形是影响预后的重要因素。Objective To investigate the influencing factors of postoperative intestinal atresia in neonates.Methods Data of children with congenital intestinal atresia admitted to our hospital from January 2015 to December 2019 were retrospectively analyzed,including gender,gestational age,admission age,associated malformations,complications and prognosis,etc.,and statistical analysis was conducted.Results Among 120 children with intestinal atresia,53 were male and 67 were female.There were 2 twins.There were 34 premature infants and 86 full-term infants.The age of admission was 30 min-30 d.The hospitalized weight was 1420-4250 g,among which 14 were low birth weight infants.23 cases were detected by prenatal ultrasound.14 cases were complicated with other congenital malformations.Due to severe give up treatment of 14 cases of death,and gender and meconium peritonitis prevalence between survival group and death group,there was no statistically significant difference of premature birth,low birth weight and atresia,pathological classification,short bowel syndrome,anastomotic fistula,functional intestinal obstruction and deformity in the distribution of the difference between two groups have statistical significance.Conclusion Neonatal intestinal atresia should be treated according to neonatal body weight,atresia site and pathological type.Complicated with short bowel syndrome,anastomotic fistula,functional intestinal obstruction and malformation are important factors affecting prognosis.

关 键 词：新生儿 肠闭锁 术后 影响因素 

分 类 号：R722.1[医药卫生—儿科]