新生儿坏死性小肠结肠炎的外科治疗策略及预后

A review of surgical treatment strategies and prognosis of neonatal necrotizing enterocolitis

坏死性小肠结肠炎(necrotizing enterocolitis,NEC)是新生儿期特有的一种获得性的炎症性肠道疾病,是导致新生儿死亡的主要原因之一,近半数的NEC患儿需要手术治疗。目前对于NEC急性期的外科治疗策略选择多样,尚无统一的推荐标准。外科医生往往根据病人的具体情况以及个人的倾向性进行选择。该文将对目前治疗NEC的常用外科治疗策略进行总结。

Necrotizing enterocolitis(NEC),an acquired inflammatory bowel disease,almost exclusively affects the newborns,which is one of the leading causes of neonatal death,with nearly half of NEC patients requiring surgical treatment. At present,there are various surgical options for the acute stage of NEC, but there is no consistents recommendation standard. Surgeons often make choices based on the patient's specific circumstances and individual preferences. In this paper,we will review the common surgical strategies for NEC currently used.