摘要
目的 :总结新生儿巨型脐膨出修复的经验。方法 :对 11例巨型脐膨出临床资料进行回顾性分析。结果 :男 8例 ,女 3例。腹壁缺损直径为 5～ 12 cm。其中缺损范围在 5～ 6 cm的 3例行一期修复 ;其余缺损超过 6 cm的病例 ,1例行二期修补 ,另 7例行分期整复修复术。本组 9例痊愈 ,1例一期修复术后死于呼衰 ,1例因并发严重硬肿症放弃治疗。结论 :巨型脐膨出的修复强调早期进行。手术方式以分期整复修补术最为安全、可靠 。
Objective:To evaluate the methods of early surgical repair for giant omphalocele in neonate Methods:The clinical data of 11 cases with giant omphalocele was studied retrospectively Results:8 cases were boys,and 3 cases were girls.The coloboma diameter of abdominal wall ranged from 5cm to 12cm.Of them,3 cases that the range of coloboma from 5cm to 6cm were treated with primary repair.The rest that coloboma was beyond 6cm were treated with staging reduction repair,except 1 cases was treated with the operation of two staged repair.After treatment,9cases were cure,1 case died by respiratory failure after primary repair,and the other one gave up further treatment for the serious complication of sclerema adiposum after staging reduction repair Conclusion:Early surgical repair is recommend to giant omphalocele.Staging reduction repair is the most safety and reliable operation method.To prevent infection and hypothermia and maintain intravenous hyperalimenlation support are the key to improve the curative effect
出处
《广西医学》
CAS
2003年第10期1863-1864,共2页
Guangxi Medical Journal
