先天性十二指肠膜式有孔闭锁15例临床分析

ONGENITAL INCOMPLETE DUODENAL DIAPHRAGMCLINICAL ANALYSIS OF 15 CASE

1978年到1995年我院收治先天性十二指肠膜式有孔闭锁15例，男10例．女5例。年龄在2～20d10例．1～6月3例，18个月1例．2岁1例。13例经十二指肠前壁切开隔膜切除．2例十二指肠巨大扩张者作了十二指肠部分切除，结肠后十二脂肠一空场吻合术，治愈13例，死亡2例。指出新生儿婴儿十二指肠膜式有孔闭锁采用十二指肠切开隔膜切除，幼儿因十二指肠巨大扩张而采用十二指肠部份切除，十二指肠一空肠吻合术．

Fifteen Patients with Congenital incomplete duodenal diaphragmwere treated between 1978 and 1995. 10 Patients were boy,5 were girl. The ages rangedfrom 2 to 20 days in 10 case. 1-6 months in 3 cases One was 18 months,Other was 2years. Incomplete diaphragm resected through duodenal incision was undergo in 13 cas-es, part duodenoctomy and duodenojejunostomy was Performed in 2 cases with giantduodenal distention, After operation, 13 Patients were cured, 2 Patients died. The aut-ther's experience Suggest that diaphragm resected through duodenal incision is a proce-dure in neonate and infant,Part duodenoctomy and duodenojejunostomy is a Procederein Young child with maedly duodenal distention.