精准医学杂志2024，Vol.39Issue(1)：33-35,39,4.DOI:10.13362/j.jpmed.202401008
新生儿坏死性小肠结肠炎84例手术疗效分析
Surgical outcome of neonates with necrotizing enterocolitis:An analysis of 84 cases
崔楷悦 1宋华 1谢恒翠 1薛媛 1李梦娇1
作者信息
- 1. 青岛市妇女儿童医院新生儿外科,山东 青岛 266034
- 折叠
摘要
Abstract
Objective To investigate the diagnosis and treatment data of neonates with necrotizing enterocolitis(NEC)undergoing surgical treatment in our hospital,and to provide a reference for the selection of optimal surgical timing and approach in clinical practice.Methods A retrospective analysis was performed for the clinical data of 84 neonates with NEC who were admit-ted to our hospital from January 2015 to December 2020,and all neonates underwent plain abdominal radiography.During the sur-gery,enterostomy or resection of the necrotic intestinal canal followed by intestinal anastomosis was performed according to the lo-cation and extent of necrotic intestinal canal.The neonates were followed up to observe the changes in diet,defecation,and body weight,and their surgical outcome was summarized.Results Among the 84 neonates,2 underwent intestinal decompression and peritoneal drainage;72 underwent enterostomy,among whom 67 underwent ileostomy and 5 underwent distal jejunostomy;7 underwent resection of the necrotic intestinal canal followed by intestinal anastomosis;3 were withdrawn from treatment.Of all neonates,77 had good prognosis;2 had poor prognosis and required regular parenteral nutrition support due to short bowel syn-drome;2 died of necrotic enteritis at 6 months after surgery;3 were withdrawn from treatment due to extensive bowel necrosis ob-served during surgery.Conclusion Neonates with NEC tend to have a high mortality rate,and enterostomy is the main treat-ment method at present.Timely surgical treatment has a good therapeutic effect on children with NEC.关键词
小肠结肠炎,坏死性/结直肠外科手术/预后/婴儿,新生Key words
Enterocolitis,necrotizing/Colorectal surgery/Prognosis/Infant,newborn分类
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崔楷悦,宋华,谢恒翠,薛媛,李梦娇..新生儿坏死性小肠结肠炎84例手术疗效分析[J].精准医学杂志,2024,39(1):33-35,39,4.
