摘要
目的探讨运用产前B型超声诊断以达到尽早手术治疗新生儿肠闭锁,提高治愈率。方法回顾性分析近4年共24例产前超声诊断的肠闭锁,产后及时外科干预、早期手术治疗,其中十二指肠闭锁5例,空回肠闭锁18例,结肠闭锁1例。结果24例均在出生后24h内行手术治疗,术后存活21例,占87.5%;19例术后随访6个月～2年,疗效满意。结论手术是治疗新生儿肠闭锁的唯一手段,产前明确诊断,产后及时外科干预尽早手术治疗,可减少并发症,提高治愈率。
Objective To retrospectively analysis the role of prenatal ultrasound in early diagnosis and surgery for neonatal intestinal atresia. Methods Twenty-four cases of intestinal atresia which were diagnosed prior to birth and were subjected to surgical treatment in the last four years were retrospectively analyzed, including 5 cases of duodenal atresia, 18 cases of jejunoileal atresia and 1 case of colonic atresia. Results All 24 cases were operated upon within 24 h, in which 21 eases survived （87. 5%）. Nineteen cases were followed up for 6 months-2 years and got good prognosis. Conclusion Only surgery can cure intestinal atresia. Prenatal diagnosis and postnatal surgery in time can decrease complications and increase curative rate .
出处
《腹部外科》
2009年第6期358-359,共2页
Journal of Abdominal Surgery
关键词
超声检查
产前
肠闭锁
外科手术
Ultrasonography,prenatal
Intestinal atresia
Surgical procedures,operation
