【摘要】 目的 :评价Ⅰ期修补腹裂的早期转归。方法 :回顾分析我院小儿外科 17年间收治的腹裂病历 18份。结果 :产前诊断 16例 (89% )。全部病婴I期修补腹壁缺损。出生至手术的平均时间 5h(0 .5h～ 17h)。 4例合并肠道畸形和 1例并发肠坏死者需要更多的手术和更长的时间达到完全喂养 (P<0 .0 1)。 3例死亡 (16 .6 % ) ,其中 2例死于感染。结论 :我们的经验提示腹裂的死亡率不超过 16 .6 % ,降低死亡率主要是防治感染并发症 ,Ⅰ期修补可改善早期转归。更多还原

【Abstract】 Objective: To evaluate the contemporary outcome in the one-stage repair of gastroschisis. Methods:A retrospective analysis was reviewed of 18 cases admitted over a 17～year period to the department of pediatric surgery with a diagnosis of gastroschisis. Results: A prenatal ultrason diagnosis was made in 6 (33 3%)cases. The one-stage repair was performed in all babies, at a mean of 5 hours (range, 0.5h～17h) postdelivery.4 children with malformation of the gut and 1 child with intestinal necrosis ,required significantly operative procedures and took significantly longer to achieve full oral feeding (p<0.01). There were 3 deaths (16.6%), 2 of them were caused by sepsis.Conclusions: The authors conclude that the contemporary mortality rate of gastoschisis is less than 16.6%, and minimizing septic complications would contribute to reducing this significantly. The one-stage repair designed to improve early outcome.更多还原