先天性十二指肠梗阻临床特点及治疗研究

目的分析3种常见的先天性十二指肠梗阻的病理特点和临床特点，探讨先天性十二指肠梗阻的鉴别要点和治疗方法。方法回顾性分析32例先天性十二指肠梗阻患儿的临床资料，所有患儿均采取手术治疗，不同诊断采取不同的手术方式。结果32例患儿经手术治疗后均痊愈出院，治愈率100％，术后并发症2例，切口感染1例，肺炎1例。结论先天性肠旋转不良、十二指肠闭锁、狭窄、环状胰腺是导致先天性十二指肠梗阻的主要原因。此3种疾病均有各自的特点，应在全面探查的基础上进行合理的手术治疗，并排除合并的其它畸形。同时应做好术前、术后管理，防止并发症，是促使先天性十二指肠梗阻获得良好临床治疗效果的关键。

Objective To explore the differential diagnosis and treatment of congenital duodenal obstruction by analyzing three kinds of common pathological and clinical characteristics of congenital duodenal obstruction. Methods 32 cases of congenital duodenal obstruction in our hospital were selected, and all the patients were treated by operation. Results After surgical treatment,32 patients were cured, the cure rate was 100%, 2 cases of postoperative complications, 1 case of incision infection, 1 case of pneumonia. Conclusion Congenital intestinal rotation, duodenal atresia, stenosis and annular pancreas are the main causes of congenital duodenal obstruction. The three diseases have their own characteristics. They should be given reasonable surgical treatment on the basis of comprehensive exploration and excluded the merger of other malformations. Preoperative and postoperative management, as well as prevention of complications are the key to promoting good clinical treatment effect of congenital duodenal obstruction.