先天性胃壁肌层缺损11例诊疗分析
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摘要
目的提高对先天性胃壁肌层缺损患儿临床特点和预后的认知,以期改善此类患儿的预后。方法回顾性分析近年来我院收治的11例先天性胃壁肌层缺损患儿的临床资料。结果 11例患儿均行手术治疗,经术后病理证实诊断,其中7例存活,4例术后放弃治疗,存活病例随访6个月,生长发育情况基本正常。结论先天性胃壁肌层缺损患儿具有较典型的临床表现,手术是唯一治疗方法,早发现、早诊疗可望改善预后。
Objective:To improve the knowledge of clinical features and prognosis of congenital defects of gastric musculature in children,so as to improve the prognosis of such children. Methods:Retrospective analysis of clinical data of 11 children admitted with defects of gastric musculature in recent years. Results:All 11 cases were treated surgically and confirmed by postoperative pathology. Among them,7 cases survived and 4 cases gave up treatment after operation. The survival cases were followed up for 6 months,and their growth and development were basically normal. Conclusion:Defects of gastric musculature has typical clinical characteristics. Surgery is the only treatment method,early detection and early treatment are expected to improve prognosis.
Objective:To improve the knowledge of clinical features and prognosis of congenital defects of gastric musculature in children,so as to improve the prognosis of such children. Methods:Retrospective analysis of clinical data of 11 children admitted with defects of gastric musculature in recent years. Results:All 11 cases were treated surgically and confirmed by postoperative pathology. Among them,7 cases survived and 4 cases gave up treatment after operation. The survival cases were followed up for 6 months,and their growth and development were basically normal. Conclusion:Defects of gastric musculature has typical clinical characteristics. Surgery is the only treatment method,early detection and early treatment are expected to improve prognosis.
引文
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[6]王凯,陈永卫,蔡思雨,等.新生儿胃穿孔特点及预后相关研究[J].中华小儿外科杂志,2018,39(4):274-278.
[2]裴洪岗,毛建雄,张翅,等.新生儿胃穿孔发病原因分析[J].中国优生与遗传杂志,2013,21(6):87-88+97.
[3]张海鲲,张成元,刘亚飞,等.新生儿先天性胃壁缺损16例临床分析[J].中国优生与遗传杂志,2013,21(8):107.
[4]陆巍峰,耿其明.新生儿无气腹胃壁肌层缺损(附3例报告并文献复习)[J].南京医科大学学报(自然科学版),2017,37(5):644-646.
[5]李红卫.新生儿先天性胃壁肌层缺损穿孔5例[J].临床小儿外科杂志,2008,7(6):76.
[6]王凯,陈永卫,蔡思雨,等.新生儿胃穿孔特点及预后相关研究[J].中华小儿外科杂志,2018,39(4):274-278.