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[腹裂:临床与治疗考量]

[The gastroschisis: clinical and therapeutic considerations].

作者信息

Sabetay C, Jona J Z, Maloş Anca, Stoica A, Zavate A, Ciobanu O, Kamel J, Neamţu Olga, Cârstoiu E

机构信息

Clinica de Chirurgie Pediatrică, Spitalul Universitar de Urgenţă Craiova.

出版信息

Chirurgia (Bucur). 2006 Mar-Apr;101(2):147-50.

Abstract

Gastroschisis is a severe congenital malformation of the abdominal wall, with relative low incidence. The authors are analysing different therapeutic methods, in a group of 17 cases, hospitalised and operated in Department of Pediatric Surgery, Emergency Hospital of Craiova. They are underlining the importance of the ultrasound prenatal diagnosis of the malformation, close related to different therapeutic methods applied in this period of time and also are advising secondary closure of the abdominal wall, using a synthetic material (Silo-bag) for temporary coverage of the intestine developed outside the peritoneal cavity. This method helped with the decreasing of mortality in gastroschisis but with high costs of treatment.

摘要

腹裂是一种严重的先天性腹壁畸形,发病率相对较低。作者对17例在克拉约瓦急诊医院小儿外科住院并接受手术的病例进行了不同治疗方法的分析。他们强调了该畸形产前超声诊断的重要性,这与这段时间内应用的不同治疗方法密切相关,并且建议采用合成材料(硅袋)对腹腔外脱出的肠管进行临时覆盖,然后二期关闭腹壁。这种方法有助于降低腹裂的死亡率,但治疗成本较高。

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