新生儿坏死性小肠结肠炎外科诊疗进展

Progress in diagnosis and surgical treatment for neonatal necrotizing enterocolitis

新生儿坏死性小肠结肠炎(NEC)是小儿外科常见的急腹症,具有发病迅速、早期诊断困难、病死率高、术后并发症多等特点。目前临床争论主要集中在两方面:第一,手术时机及方式的选择问题;第二,如何尽可能多的保留肠管,防止术后短肠综合征发生。笔者就目前NEC外科治疗研究进展做一综述,以期寻求启发与解答。

Neonatal necrotizing enterocolitis（NEC）,characterized by rapid onset,difficult early diagnosis,high mortality and many postoperative complications,is a common pediatric surgical acute abdomen.Current clinical debates mainly center around two issues：firstly,the surgical timing and procedure selection;secondly,how to preserve the length of small bowel as adequately as possible and prevent the occurrence of short bowel syndrome.The authors,in this paper,address the current research progress in surgical treatment of NEC,with the prospect of seeking enlightenment and solutions.