先天性胃壁肌层缺损诊治体会

目的 探讨提高新生儿先天性胃壁肌层缺损治愈率的方法。方法 总结分析近年来收治的本症11例患儿(均经过病理检验证实)的临床及相关资料。结果 11例患儿中，8例存活，其中7例为近十年的病例。1例死亡，2例放弃治疗，均为十年以前的病例。在存活者中，经追踪观察及消化道造影检查，残胃有明显代偿性生长，患儿生长发育未受到明显的影响。结论 早期发现、及时手术、控制感染、术后营养、支持治疗，其预后良好。

Experience of Diagnosis and Treatment for Congenital Gastric Wall Muscular Tunic Defect

Obje ct ive To explore a new therapeutic strategy in order to raise cure rate of congeni tal gastric wall muscular tunic defect of neonates and reduce its mortality.Met hods Clinical data for11cases of congenital gastric wall muscular tunic defec t were retrospectively summrized and analyzed in the recent few years in our h ospitalization sick neonates.Results Of 11cases,8cases were survival,7cas es of them were the recently ten years taking cases,one cassse death,other two cases abandoned treatment ,data of three cases were taken ten years ago.By followed up,digestive tract imaging examination showed that there was obviously compensatory growth of residual stomach,but growth and development of sick c hildren were not significantly affected.Conclusions The children with congonit al gastric wall muscular tunic defect should be early detected and operated timl y simultaneously in control of infection,enhancing nutrition and supporting the rapy in postoperation.So doing,the patients will get a favourable prognosis.