摘要
目的 介绍应用免缝SILO袋分期治疗新生儿腹裂。方法 收集芝加哥大学儿童医院 1998年 1月至2 0 0 2年 7月应用免缝SILO袋分期治疗 15例腹裂患儿。患儿体重 2 1～ 3 5kg ,根据腹壁缺损大小选择环口直径 3～ 5cm的SILO袋。脏器回纳腹腔后择期关闭腹壁。结果 15例患儿全部顺利分期关闭腹壁缺损。 2例 (13 3% )SILO袋在使用中滑出腹壁 ,立即于床边重新放置SILO袋。SILO袋平均使用天数为 3 7d ,完全经口进食平均为2 2d。 1例患儿伴有小肠闭锁做肠吻合后再安置SILO袋。随访 3个月至 4年 ,15例全部存活。结论 应用免缝SILO袋分期关闭腹壁缺损是一种安全、可靠、有效的方法。
Objective To introduce primary silastic spring-loaded silo (SLS) closure of the gastroschisis followed by elective closure in infants and report the preliminary experience.Methods A total of 15 infants (body weight 2.1～3.5kg) were treated between 1998 and 2002. A 3,4 or 5cm (ring diameter) silo was used depending on size of abdominal wall defect.Elective closure was performed in the operating room or at the bedside.Results All the infants were successfully treated by SLS closure followed by elective closure.Two (13.3%) experienced temporary dislodgement of the silo prior to permanent closure.In both cases,the silo was safely reinserted at the bedside.Mean times to final fascial closure (3.7 days) and full enteral feedings (22 days) were similar to historical controls obtained from the surgical literature.In one case where there was associated intestinal atresia,SLS closure was effective in permitting concomitant elective closure and re-establishment of bowel continuity.All children were alive at the time of this report.Conclusion SLS closure permits safe,gentle,and gradual reduction of the exposed viscera,which leads to successful permanent abdominal wall closure.
出处
《中国实用儿科杂志》
CSCD
北大核心
2004年第1期31-32,共2页
Chinese Journal of Practical Pediatrics
