【摘要】 目的：先天性小肠闭锁主要的手术方式为肠切除肠吻合术，探讨端端180°旋转肠吻合术在新生儿肠闭锁中的临床应用效果。方法：回顾性分析17例新生儿肠闭锁进行用端端180°旋转肠吻合术的临床资料，并与同时期进行的25例传统的端端吻合术进行对比，分析比较两种不同术式的临床效果。结果：所有患儿术后均进行6～12月随访，端端180°旋转吻合术患儿术后胃肠功能恢复时间、进食时间、住院天数、术后并发症发生率均优于传统端端吻合患儿（P<0.05）。结论：端端180°旋转吻合术操作简单，吻合端两侧血管重建均等，吻合口成角较小，与传统端端吻合术相比其术后胃肠功能术后恢复快，吻合口瘘、肠梗阻等并发症发生率较低，可为临床提供一种新的手术思路。更多还原

【Abstract】 Objective:Congenital intestinal atresia is one of the most common causes of neonatal intestinal obstruction.The purpose of this study was to investigate the clinical effect of end-to-end 180° rotation enterostomy in neonatal intestinal atresia.Methods:The clinical data of17 cases of neonatal intestinal atresia with 180° end-to-end rotation enterostomy were retrospectively analyzed and compared with 25 cases of traditional end-to-end enterostomy in the same period.Results:All children were followed up from 6 to 12 months after operation.there was no signific ant difference in basic information,atresia site,type and birth weight between end-to-end rotational anastomosis group and traditional end-to-end anastomosis group.The postoperative gastrointestinal function recovery time,feeding time,hospital stay and postoperative complication rate in the 180°end-to-end rotational anastomosis group were superior to those in the traditional end-to-end anastomosis group(P<0.05).Conclusion:End-to-end 180°rotational anastomosis is easy to operate,with equal vascular reconstruction on both sides of the anastomotic end and smaller anastomotic Angle.Compared with the traditional end-to-end anastomosis,its postoperative gastrointestinal function recovery is faster,the incidence of anastomotic leakage,intestinal obstruction and other complications is lower,which can provide a new surgical idea for clinicians.更多还原