Department of Pediatric Surgery, The University of Texas School of Medicine at Houston, Houston, TX 77030, USA.
Clin Perinatol. 2012 Jun;39(2):363-74. doi: 10.1016/j.clp.2012.04.002. Epub 2012 May 5.
Surgical management of congenital diaphragmatic hernia (CDH) remains a challenge for all clinicians. While the treatment strategies for CDH have evolved from emergent surgical intervention to initial hemodynamic stabilization with delayed surgical repair, surgical innovations have remained limited in the last 20 years. Advances in surgical approaches, such as minimally invasive surgery and alternatives to diaphragmatic replacement, have focused on improvements in surgical morbidity.
先天性膈疝(CDH)的外科治疗仍然是所有临床医生面临的挑战。虽然 CDH 的治疗策略已经从紧急手术干预演变为初始血流动力学稳定后延迟手术修复,但在过去 20 年中,外科创新仍然有限。手术方法的进步,如微创手术和膈置换的替代方法,主要集中在改善手术发病率上。