新生儿脐膨出的早期修复及预后

目的:探讨新生儿脐膨出早期手术修复的重要性及影响预后的因素.方法:回顾性分析20例新生儿脐膨出的临床资料.除2例巨型脐膨出行二期修补术外,均行一期修补术.结果:18例治愈.2例死亡.存活病例经6个月-15年随访生长发育良好.结论:新生儿脐膨出早期手术修复疗效肯定.对伴发消化道畸形应同时予以矫正.影响本病预后的因素主要包括手术修复时机、脐膨出类型、出生体重、伴发畸形和并发症.

Early Repair and Prognosis of Omphalocele on Neonates

Objective: To investigate the importance of early surgical repair and factors influencing the prognosis in neonatal ophalocele. Methods: The clinical data of 20 cases of neonatal omphalocele were retrospectively analyzed. 18 cases were treated by primary stage of surgical repair and 2 cases with major omphalocele had undergone two-stage operation. Results: 18 neonates were cared and only 2 cases died. The survived cases were caring on well by followed up 6 months to 15 years. Conclusion: The early surgical repair was an effective treatment for neonatal omphalocele. The accompany malformation in the alimental tract was treated in operation simultaneouly. The factors influencing the prognosis on omphalocele include the opportune moment of surgical repair, the type of omphalocele, the weight at birth, the accompany malformation and complication.