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两种假体补片修补先天性膈疝:Surgisis与Gore-Tex的比较
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作者 grethel e.j. Cortes R.A. +1 位作者 Wagner A.J. 刘凯 《世界核心医学期刊文摘(儿科学分册)》 2006年第5期33-34,共2页
Purpose: The sequelae of congenital diaphragmatic hernia (CDH) continue well beyond the perinatal period. Up to 50%of these patients have subsequent recurrent herniation or small bowel obstruction (SBO). A recent tren... Purpose: The sequelae of congenital diaphragmatic hernia (CDH) continue well beyond the perinatal period. Up to 50%of these patients have subsequent recurrent herniation or small bowel obstruction (SBO). A recent trend has been toward the use of bioactive prosthetic materials. We reviewed different patch closure techniques used for CDH repair at our institution and their association with these sequelae. Methods: A retrospective review was performed of 152 records for patients with CDH. Newborns that underwent patch repair for CDH and survived for at least 30 days were included in the analysis. Primary outcomes evaluated were recurrent herniation and SBO. Two types of prostheses were examined, Gore-Tex, an artificial material, and Surgisis, a bioactive material. Results: Twelve (44%) of 27 patients who had Surgisis repair had recurrent herniation. Seventeen (38%) of 45 patients who had a Gore-Tex repair had recurrent herniation. Two additional patients in each group presented with SBO. No significant difference in recurrent herniation rates was observed (P > .5). The time to recurrence was similar in both groups (log-rank, P = .75), with most recurrences (92%Surgisis, 76%Gore-Tex) occurring in the first year. Conclusion: The rates of recurrent herniation and SBO after neonatal prosthetic patch repair of CDH were similar regardless of the prosthetic material used (Surgisis or Gore-Tex). 展开更多
关键词 先天性膈疝 GORE-TEX 补片修补 假体 CDH 持续时间 小肠梗阻 修补材料 生物活性 医疗记录
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