中国实用妇科与产科杂志2017,Vol.33Issue(5):517-521,5.DOI:10.19538/j.fk2017050119
先天性膈疝的子宫外产时处理与预后探讨
Study on the EXIT and prognosis of congenital diaphragmatic hernia
摘要
Abstract
Objective To analyze clinical characteristics of pregnant women and infants with congenital diaphragmatic hernia,establish standardized treatment procedure of EXIT,and improve perinatal outcome.Methods We retrospectively analyzed the clinical data of 23 patients with congenital diaphragmatic hernia from January 2008 to December 2016 in Shengjing Hospital Affiliated to China Medical University.Results All of the 23 cases prenatally diagnosed with congenital diaphragmatic hernia received EXIT surgery.Twenty of them received diaphragm repair surgery after birth,2 cases gave up treatment,and 1 case was under expected treatment.After a long-term follow up,19 infants survived,2 cases were lost.Conclusion The patients with mild-moderate congenital diaphragmatic hernia will be able to get a good prognosis through diaphragm repair when the children achieved stable respiratory and circulating function,along with regular follow-up during pregnancy,complete examinations,and multidisciplinary cooperation in the EXIT procedure in the prenatal diagnosis center.关键词
先天性膈疝/临床特点/子宫外产时处理/预后Key words
congenital diaphragmatic hernia/clinical characters/EXIT/prognosis分类
医药卫生引用本文复制引用
刘浩,张志涛,刘彩霞..先天性膈疝的子宫外产时处理与预后探讨[J].中国实用妇科与产科杂志,2017,33(5):517-521,5.基金项目
常见高危胎儿诊治技术标准及规范的建立与优化(201402006) (201402006)