先天性肠闭锁45例的诊治体会

目的：探讨先天性肠闭锁的诊断、手术治疗的要点及提高疗效的关键。方法：总结分析我院1996年至2008年45例先天性肠闭锁的临床资料。结果：所有病例均诊断及时、准确,无误诊,无延迟诊断。手术42例,治愈存活36例,术后存活率为85.7%,32例术后随访1-21年,绝大多数无吻合口瘘、肠梗阻等近远期并发症。结论：早期准确的诊断、熟练轻柔的手术操作、合理手术方式的选择及严密、高质量的术后管理是提高疗效的关键

Experience of Diagnosis and Treatment for Congenital Intestinal Atresia (Report of 45 Cases)

Objective： To investigate the point of diagnosis and surgical treatment, and the key of improving the curative effect of congenital intestinal atresia. Method： The clinical data of 45 cases of congenital intestinal atresia in our hospital between 1996 to 2008 was reviewed. Result： All patient were diagnosed timely and accurately, 36 patients of the 42 who accepted operation were cured and survived. The rate of postoperative survival was 85.7 %. Through postoperative follow- up of 32 patients for 1 -21 years, most had no complication including anastomotic leakage and intestinal obstruction. Conclusion： Accurate diagnosis in early, skilled and soft operation, selection of resonable operative methods, and high - quality postoperative management were the keys of improving the curative effect.