肠腔内瓣膜切除治疗先天性肠瓣膜狭窄和闭锁(附25例报道)

Valve Resection in Intestional Cavity For Congenital Intestine Valvular Atresia And Stenosis(A Report of 25 Cases)

目的报道肠腔内瓣膜切除术治疗先天性肠膜式狭窄与闭锁手术方法及疗效。方法在1997～2004年间,采用肠腔内瓣膜切除术治疗25例先天性肠膜式闭锁和狭窄,随访内容包括上消化道钡餐、生长发育指标、临床症状等。并通过术后临床病理研究以及近、远期的随访比较本术式与传统手术方法的差异,评估该术式的疗效。结果25例肠膜式闭锁和狭窄患儿行肠腔内瓣膜切除术,所有患儿均在术后3d内正常排便,8～10d痊愈出院。16例获得随访(随访时间1个月～6年),随访患儿全部生长发育良好,体重与同龄儿无差异;无反复呕吐、腹胀、黄疸等症状。结论肠腔内瓣膜切除术是一种有效的、简易的和更符合生理的治疗先天性肠膜式狭窄和闭锁的手术方法。

Objective To report operation methodefficacy and follow up for valve resection in the intestinal cavity applied to treat congenital valvular atresia and stenosis of the intestine. Methods 25 childrenage ranged from 1 to 41 days with congenital valvular atresia and stenosis who underwent the valve resection in the intestinal cavity were followed for upper alimentary tract barium mealthe indices of growthdevelopment and symptoms etcwere reviewed during 1997～2004.At the same timethis operation way and traditional operation way was compared during 1997～2004.By clinicopathologic researchin the near future and forwardfollow up in order to evaluate efficacy of this operation. Results All 25 cases had normal defecation at 3 days in the postoperation8～10 days recorvery discharge.16 cases of them were followed for one month to six yearsall followed children had good growth and development statetheir body weigth was basically no difference with contemporaries.The repeated vomitsabdominal distention and jaundice etc symptoms were no found. Conclusions Valve resection in the intestinal cavity is an effectivesimple and easy operation way it is more correspond with physiological surgery for the treatment of congenital intestine valve caused atresia and stenosis. 