先天性肠闭锁42例

目的探讨新生儿肠闭锁的诊断和治疗。方法对42例先天性肠闭锁的患儿进行回顾性分析，其中十二指肠闭锁7例，空肠闭锁10例，回肠闭锁25例；Ⅰ型16例，Ⅱ型6例,Ⅲ型19例,Ⅳ型1例；行隔膜切除纵切横缝术5例，行肠侧侧菱形吻合术6例，行肠切除端端或端斜吻合术29例，肠管裁剪端端吻合（Tapering整形术）2例。结果术后吻合口梗阻4例，吻合口瘘2例，切口裂开3例。术后死亡3例，弃医2例。治愈37例，治愈率88％。伴发畸形19％；随诊3年生长发育良好。结论早期诊断和选择合理的术式是提高肠闭锁治愈率，减少并发症的关键因素。

42 Cases of Congenital Intestinal Atresia

Objective To summarize the diagnosis and treatment of intestina atresia in newBorns. Methods The clinic data of 42 cases of congenital intestinal atresia were reviewed,including ,duodenal atresia（7）, jejunal atresia（10） and ineum atresia（25）. The types of atresia were type Ⅰ （16）, type Ⅱ （6）, type Ⅲ （19）and type Ⅳ（1）. 5 patients were treated with septum resection and then anastomosed longitudinally, 6 underwent diamond duodeno- duodenostomy, 29 underwent end- to-end or end-to-back anastomose and 2 underwent Tapering operation. Results There were 4 cases of obstruction of anastomatic stoma, 2 cases of anastomatic leakage and 3 cases of wound disruption. 2 cases died postoperatively, and 3 patient was given up for postoperatively treatment. 37 were cured making the cure rate of 88% .19% associated with other anomalities. The living cases were followed up for 3 years the samptom had not elapse. Conclusion Early diagnosis and an appropriate surgical procedure are crucial to improve the cure rate as well as decrease the complications.