PDF(1403 KB)
PDF(1403 KB)
PDF(1403 KB)
24例新生兒先天性消化道畸形的臨床分析
Clinical analysis of 24 neonatal congenital gastrointestinal malformations
目的提升新生兒先天性消化道畸形的診治水平。方法回顧性分析鏡湖醫院2009年1月~ 2021年12月收治的24例新生兒先天性消化道畸形患兒的臨床資料。結果本院新生兒先天性消化道畸形患兒以男性、足月、正常出生體重兒為主，病種以腸旋轉不良、先天性巨結腸及肛門閉鎖為多，少數合併2種畸形，臨床表現為嘔吐、腹脹、排便異常，多數手術後痊癒。結論早期識別症狀及針對性檢查有助儘快診斷和治療，是改善預後，降低死亡率，減少併發症的關鍵。圍手術期的積極配合與綜合治療能有效提高整體的處理水平。
新生兒 / 先天性消化道畸形 {{custom_keyword}} /
Objective To sum up diagnosis and treatment experiences of neonatal congenital gastrointestinal malformation, and to improve clinical level. Methods To review and analyze the clinical data of 24 neonatal congenital gastrointestinal malformations who were admitted to Kiang Wu Hospital from Jan 2009 to Dec 2021. Results Most cases of neonatal congenital gastrointestinal malformations in our hospital were male, full term babies with normal birth weight, mainly disease types were intestine malrotation, megacolon and anus atresia, less cases included two types of malformation. Clinical manifestations were vomit, abdominal distension, and abnormal bowel movement. Most cases were cured after surgery. Conclusion Early recognition of sign and specific check help to quick diagnosis and treatment, it was key for better prognosis, low mortality and less complication. Active coordination and complex treatment during perioperation raised total management level.
Neonate Congenital / Gastrointestinal malformation {{custom_keyword}} /
[1]Moore SW. Association of anorectal malformations and related syndromes. Pediatr Surg Int, 2013; 29(7):665-676.
[2]朱偉雄, 李雪清, 嚴麗霞. 神經標誌物在先天性巨結腸中的表達. 實用醫學雜誌, 2014; 30(13):2136-2137.
[3]朱峰. 胎兒消化道畸形的產前超聲診斷的臨床價值. 中國當代醫藥, 2015; 22(13):126-128.
[4]朱明理, 耿輝, 孫利偉. 先天性十二指腸梗阻影像學診斷價值. 中國實驗診斷學, 2019; 23(12):2208-2210.
[5]鄒嬋娟, 李碧香, 王友潔, 等. 先天性消化道畸形142例臨床特徵分析. 中國新生兒科雜誌, 2014; 29(4):255-258.
[6]王聰, 張志波. 171例新生兒先天性十二指腸梗阻臨床分析. 國際兒科學雜誌, 2017; 44(12):877-881.
[7]張英傑, 呂冬梅, 劉愛萍, 等. 結腸造影在新生兒腸梗阻診斷中的價值. 影像研究與醫學應用, 2017; 1(7):135-136.
[8]孫真真, 霍亞玲, 穀慧慧, 等. 先天性十二指腸梗阻的超聲診斷及漏誤診原因分析. 中國超聲醫學雜誌, 2021; 37(3):292-295.
[9]曲妮娜, 李傑, 時丹丹, 等. 高頻超聲診斷新生兒十二指腸梗阻性疾病的價值. 中華超聲影像學雜誌, 2011; 20(6):502-504.
[10]段星星, 何靜波, 陳文娟, 等. 高頻超聲在新生兒先天性上消化道梗阻中的診斷價值探討. 臨床小兒外科雜誌, 2017; 16(5):464-468.
[11]Yang B, He F, He Q, et al. Diagnosis value of the acute angle between the prestenotic and poststenotic duodenum in neonatal annular pancreas. Eur Radiol, 2019; 29(6):2902-2909.
[12]Ayaz Y, Dogen ME, Dilli A, et al. The use of ultrasonography in infantile hypertrophic pyloric stenosis: does the patient's age and weight affect pyloric size and pyloric ratio? Med Ultrasound, 2015; 17(1):28-33.
[13]Ma S, Liu J, Zhang Y, et al. Application of color Doppler ultrasound combined with Doppler imaging art facts in the diagnosis and estimate of congenital hypertrophic pyloric stenosis. Sci Rep, 2017; 7(1):9527.
[14]馬穗紅, 位紅芹, 楊毓雯, 等. 彩色多普勒超聲評估胃鏡下幽門肌切開術治療先天性幽門肥厚性狹窄的療效研究. 臨床超聲醫學雜誌, 2018; 20(11):751-754.
[15]Kumar B, Kumar M, Kumar P, et al. Color Doppler - an effective tool for diagnosing midgut volvulus with malrotation. Ind J Gastroenterol, 2017; 36(1):27-31.
[16]Hosokawa T, Yamada Y, Tanami Y, et al. Diagnostic accuracy of sonography for detection of a fistula on the birth day in neonates with an imperforate anus: Comparison of diagnostic performance between suprapubic and perineal approaches. J Ultrasound Med, 2017; 36(10):1989-1995.
[17]林紫晴, 成宇璐, 羅慧, 等. 床邊超聲對新生兒先天性消化道畸形的診斷價值. 中國實用醫藥, 2020; 15(10):59-61.
/
| 〈 |
|
〉 |
