围产新生儿畸形的早期诊断及术后随访(附69例资料分析)

Early Diagnosis of Perinatal Neonates with Deformity and Follow-up After Orthopedics

选择我院生育高峰１０ 年资料，重点对６９ 例急待手术矫治的畸形儿进行分析。病种分类以消化系统占首位２９ 例（４２－０３ ％ ） ，心血管２３ 例（３３－３３ ％ ） 、泌尿系统５ 例（７－２５ ％ ） 、神经管缺损３ 例（４－３５ ％ ） ，其它９ 例（１３－０４ ％） 。转科时间：＜ ７２ｈ ４８ 例（６９－５６％ ） 、＞ ７２ｈ ２１ 例（３０－４４ ％ ） 。随访：手术存活２１ 例（７０ ％ ） 、死亡９ 例（３０ ％ ） 、姑息治疗存活２２ 例（５６－４１ ％） 、死亡１７ 例（４３－５９％ ） ，诊断符合数６２ 例（８９－８６ ％） ，误诊７ 例（１０－１４ ％ ） 。提出可矫治的畸形，娩出后早期诊断，及时转科手术，可提高手术成功率及生存率。

The clinical data of sixty-nine perinatal neonates with deformity,who needs to be orthopedics urgently were analyzed.The genetic deformity including 29 cases of alimentary system(42.03%),23 cases of cardiovascular disease (33.33%), 5 cases of urinogenital deficiency(7 25%),3 caese of dysraphia (4^35%) and 9 cases of other deformity (13.04%).The hospitalized time of 48 neonates in the pediatric ward was less than 72h and 21 the neonates over 72h,before they were transfered into surgery ward.The results of followed-up showed that the orthotherapy survival rate was 70%(21 cases),death rate of the operation was 30%(9 cases), survival rate of palliative treatment was 56.41%(22 cases),its death rate was 43.59%(17 caese).Sixty-two cases of them were coincided with the diagnosis (89.86%),7 Cases of them were misdiagnosed(10.14%).These analyzed data suggest that the early diagnosis of perinatal neonates with deformity of postpartum and orthopedic operation should be performed as soon as probably.These management could be important for elevations of successful rate of operation and survival rate of perinatal neonates with deformity.