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腹壁缺损——当前的治疗方法

Abdominal Wall Defects-Current Treatments.

作者信息

Bielicki Isabella N, Somme Stig, Frongia Giovanni, Holland-Cunz Stefan G, Vuille-Dit-Bille Raphael N

机构信息

Department of Pediatric Surgery, University Children's Hospital of Basel (UKBB), 4056 Basel, Switzerland.

Department of Pediatric Surgery, University Children's Hospital of Colorado, Aurora, CO 80045, USA.

出版信息

Children (Basel). 2021 Feb 23;8(2):170. doi: 10.3390/children8020170.

DOI:10.3390/children8020170
PMID:33672248
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7926339/
Abstract

Gastroschisis and omphalocele reflect the two most common abdominal wall defects in newborns. First postnatal care consists of defect coverage, avoidance of fluid and heat loss, fluid administration and gastric decompression. Definitive treatment is achieved by defect reduction and abdominal wall closure. Different techniques and timings are used depending on type and size of defect, the abdominal domain and comorbidities of the child. The present review aims to provide an overview of current treatments.

摘要

腹裂和脐膨出是新生儿最常见的两种腹壁缺陷。出生后的首要护理措施包括覆盖缺损、避免液体和热量流失、给予液体和胃肠减压。通过缺损复位和腹壁闭合实现最终治疗。根据缺损的类型和大小、腹腔范围以及患儿的合并症,采用不同的技术和时机。本综述旨在概述当前的治疗方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5051/7926339/c9ea4e0d181c/children-08-00170-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5051/7926339/40f1beae7a42/children-08-00170-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5051/7926339/c9ea4e0d181c/children-08-00170-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5051/7926339/40f1beae7a42/children-08-00170-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5051/7926339/c9ea4e0d181c/children-08-00170-g002.jpg

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Evidence according to Cochrane Systematic Reviews on Alterable Risk Factors for Anastomotic Leakage in Colorectal Surgery.根据Cochrane系统评价得出的关于结直肠手术吻合口漏可改变危险因素的证据。
Gastroenterol Res Pract. 2020 Jan 3;2020:9057963. doi: 10.1155/2020/9057963. eCollection 2020.
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STEP improves long-term survival for pediatric short bowel syndrome patients: A Markov decision analysis.STEP 可提高儿科短肠综合征患者的长期生存率:一项马尔可夫决策分析。
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Gastroschisis prevalence substantially decreased from 2009 through 2018 after a 3-fold increase from 1997 to 2008.
脐膨出和腹裂的临床特征和结局:20 年多中心区域性经验。
Pediatr Surg Int. 2024 Jul 25;40(1):210. doi: 10.1007/s00383-024-05783-0.
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Two Congenital Gastrointestinal Malformations: A Case of Omphalocele and Meckel's Diverticulum in a Neonate.两种先天性胃肠道畸形:一例新生儿脐膨出合并梅克尔憩室
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BMC Surg. 2023 Dec 11;23(1):375. doi: 10.1186/s12893-023-02245-7.
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Cureus. 2023 Oct 25;15(10):e47638. doi: 10.7759/cureus.47638. eCollection 2023 Oct.
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