154例新生儿肠闭锁手术报道

目的 总结154例新生儿肠闭锁的手术治疗经验，探讨新生儿肠闭锁的治疗方法。方法根据肠闭锁部位选择不同的手术方式，对十二指肠闭锁患儿采取隔膜切除术、十二指肠-空肠吻合术、十二指肠侧侧吻合术、胃空肠吻合术；对空、回肠闭锁患儿采取端背吻合术、端侧吻合术；对结肠闭锁患儿采取一期吻合术。结果154例均行手术治疗，治愈126例，死亡28例，治愈率为91％。结论根据肠闭锁部位选择合适术式，加强术后管理，是提高新生儿肠闭锁治愈率的重要因素。

Surgical treatment for 154 cases of intestinal atresia in neonates

Objective To summarize surgical treatment experience of intestinal areas,explore a new therapeutic way. Methods one 154 cases of intestinal atresia in our hospital were reviewed.T he surgical procedure should be chosen carefully according to pathological pattern.Duodencern atresia:membrane atresia in duodenum should have the membrane been resected and then anastomosed by longitudinally cut and then transverse sufune duodenojejunostomy side by side anastomosed.jejunal and ileal atresia:the dilated blind sack should be resected and then end-to-back anastomosed or end-to-side anastomosed or end-to-end amastomosed.colonic atresia:one stage treatment or colostomy and then diplo-stage anastomosis. Results 154cases were hesled.28 cases were dead. The cure rate was 81.8%. Conclusion Intestinal atresia was one of the acute addomen in nesnates which was important part of neonatal intestinal obstruction.with wide usage of TPN management intensive perioperative care,appropriate surgical produre and new surgical materials,the cure rate has greatly increased.