十二指肠、小肠闭锁及合并畸形的术式选择(附3例报告)

十二指肠、小肠闭锁是小儿外科少见的先天性发育畸形,也是新生儿肠梗阻的重要病因之一,常合并其它发育异常。正确的外科术式选择与患儿生存率的提高密切相关。作者等自1994年9月至1997年3月收治3例。手术效果满意。笔者等认为对于十二指肠、小肠闭锁的治疗,在明确其诊断的基础上,要善于发现或排除其它发育不良的存在,针对各种发育异常进行综合评价,作出准确的术式选择,才能提高患儿生存率。

OPTION OF OPERATIONS FOR DUODENAL AND SMALL INTESTINAL ATRESIA AND ASSOCIATED ANOMALIES: (3 CASES REPORT)

Duodenal and small intestinal atresia are congenital abnormalities rarely seen in pediatric surgery. It is one of the significant cause of newborn ileus, and is often associated with other anomalies. Close relationship is existed between the correct operative option and increase of survival rate of these children. Three patients were treated in our department between September 1994 and Martch 1997, their disorders were confirmed by surgery and pathology. It is suggested that in order to improve the survival rate, accompanied anomalies should be found or excluded, and correct operative option could be then established according to the comprehensive evaluation of variant accompanied anomalies.