新生儿肠闭锁的10年回顾

目的：为提高新生儿肠闭锁的治愈率，探讨其外科诊断、治疗及影响预后的因素。方法：对手术治疗新生儿肠闭锁20l例的临床资料、病理、治疗及疗效进行回顾性分析。结果：手术治疗20l例，治愈163例(81．1％)，术后放弃治疗及死亡38例(18．9％)。术后发生并发症16例，其中吻合瘘4例，肠粘连性梗阻7例，吻合狭窄5例。结论：早期诊断尤其是产前诊断肠闭锁可以提高肠闭锁的治愈率。闭锁部位及病理类型，手术方式，围手术期管理，合并畸形等是影响预后的主要因素。

The ten - year review of intestinal atresia in newborns.

Objective: To improve the diagnosis and treatment of the inteslinal atresia in newborns.Methods: 201 patients of intestinal atresia which had received operative treatment in our hospital in the past ten years were reviewed. Results: 163 cases of the patients finally enjoyed their satisfactory recovery, while the other 38 cases lost the chance of survive. Conclusion: Early diagnosis, especially antepartum diagnosis, can lead to a better outcome of the treatment. Moreover, the location and type of the alre.sia, the way of the operation, the perioperative management and the accompanied malformations are also the key iactors, which decide the prognosis.