先天性肠闭锁、肠狭窄120例临床分析

Clinical analysis of 120 cases of congenital intestinal atresia and stenosis

目的总结先天性肠闭锁、肠狭窄的临床特点及手术治疗效果，探讨短肠综合征与预后的关系，提高临床治愈率。方法回顾性分析120例先天性肠闭锁、肠狭窄患儿的临床表现、影像学检查、病理分型、手术方式及治愈情况，将随访的40例患儿按照术后保留肠管长度分为短肠组及非短肠组，以同年龄段正常儿童平均体重作为对照，将短肠组体重分别与非短肠组及正常组比较。结果手术治疗98例，死亡3例，治愈率96．9％；短肠组患儿体重不仅落后于正常组（P〈0．05），还明显低于非短肠组（P〈0．05）。结论先天性肠闭锁、肠狭窄患儿手术治疗效果满意。短肠综合征患儿术后恢复较差。

Objective To summary and analyse the clinical features and surgical treatment effect of congenital intestinal atresia and stenosis, implore the relation of short-bowel syndrome and prognosis, to improve the clinical cure rate. Methods To count and analyse the data of clinical manifestitions, iconography examine, pathologic typing,surgical pattern,cure rate of 120 cases of congenital intestinal atresia and stenosis,40 cases after follow-up investigation were divided into short-bowel syndrome group（sbs） and non short-bowel syndrome group（nsbs）, the middleweight of normal children with the same age was the control group, compare the sbs group with the nsbs group and the control group by weight. Results 98 cases got the operation,3 cases were dead,the cure rate was 96.9%. The middleweight of the shs group is not only lower than that of the nsbs group （ P 〈 0. 05 ）, but also the control group （ P 〈 0. 05 ）. Conclusions The surgical treatment effect is satisfied for congenital intestinal atresia and stenosis. Infants wo had short-bowel syndrome got the bad prognosis.