新生儿脐膨出29例临床分析

OMPHALOCELE OF NEWBORN: AN ANALYSIS OF 29 CASES

本文报道我院1959~1979年收治的29例新生儿脐膨出,年龄为生后1小时~15天,有27例进行了治疗.其中一期修复者14例,死亡3例;2%红汞涂敷者11例,死亡2例;二期修复和硅化涤纶袋修补各1例均死亡。总死亡率为25.9%。得到随访者17例,一期修复的11例腹壁愈合均良好.红汞涂敷的6例,原腹壁缺损大于5cm,均在1个月内囊膜完全上皮化。有2例现已9年和14年,仅留小于1cm的腹壁缺损,已不需进行修复。本文并对其治疗原则及预后进行了讨论。

From 1959 to 1979,29 cases of omphalocele with ages ranging from 1 hour to 15 days were admitted.Two died shortly after admission and of remaining 27 cases,14 were treated by one-stage operation,11 by application of 2%mercurochrome onto the sac and 1 each by two-stage operation and repairing with silicone dacron fabrics.Seven of the 27 cases died,a total mortality of 25.9%.Among the 20 living babies,17 were followed up.All the 11 cases which underwent one-stage operation had good healing of abdominal wall.Six cases treated with mereuroehrome application had complete epithelialization of the sac within 1 month,their initial abdominal wall defects were greater than 5 cm and in 2 cases the defect was reduced to less than 1 cm after 9 and 14 years respectively so that surgery was not resorted to.The indications of various treatment and the prognosis of omphalocele are discussed.