脱细胞异体真皮基质补片在新生儿及小儿腹壁重建中的应用

目的探讨使用脱细胞异体真皮基质生物补片重建腹壁的方式治疗新生儿、小儿巨型脐膨出等巨大腹壁缺损病例的可行性。方法作者近期采用脱细胞异体真皮基质生物补片重建腹壁的手术方式，治疗巨型脐膨出11例，医源性巨大腹壁缺损1例，巨大腹壁疝1例，通过生物补片修补腹壁组织缺损，扩大腹腔容积，避免直接缝合关闭腹腔术后腹压急剧升高。结果11例巨型脐膨出患儿中，除1例患儿家长放弃治疗外，其余10例效果良好，随访至今，无一例发生并发症。结论新生儿及小儿巨大腹壁缺损可使用脱细胞异体真皮基质补片重建腹壁，效果良好。

Acellular dermal matrix patch in pediatric and Neonatal abdominal wall reconstruction in application

Objective To investigate the use of acellular dermal matrix biological patch reconstruction of the abdominal wall approach in the treatment of neonatal, pediatric giant omphalocele, giant abdominal wall defects. Methods a retrospective analysis of our hospital recently using aeellular dermal matrix biological patch reconstruction of the abdominal wall, 11 cases of treatment of giant omphalocele, iatrogenie abdominal wall defect in 1 cases, huge abdominal wall hernia in 1 cases, observation of acellular dermal matrix patch of the advantages and disadvantages of the new method,the advantages of. Results 11 cases of giant omphalocele, except for 1 cases of children with parents give up treatment, 10 cases of good effect, 1 cases of iatrogenic abdominal wall defect and 1 cases of huge abdominal wall hernia patients had good resuhs,follow-up to date ,no complications occurred. Conclusions neonatal, pediatric giant abdominal wall defects using acellular dermal matrix patch reconstruction of the abdominal wall, the effect of good.