Eire P F, Murcia J, Muguerza R, González A, Reque J A, Mariño J M, Queizan A, Lassaletta L, Murcia J
Departamento de Cirugía Pediátrica, Hospital La Paz, Madrid.
Cir Pediatr. 1993 Jan;6(1):11-5.
The medical and surgical treatment of gastroschisis has improved in the last decades leading to better survival rates. Since in our institution there were the same cyclic variations in the incidence as in other large series in the literature, we have reviewed the epidemiological factors that can be at the origin of such variations. We studied 20 different variables in our patients in a case-control basis. Only five of them were significantly different between cases and controls. (Birth weight, gestational age, infection, drugs during the first three months of gestation and maternal age). The results point to the role of environmental factors more relevant in the etiology of gastroschisis than genetic ones.
在过去几十年中,腹裂的医学和外科治疗方法有所改进,生存率也有所提高。由于在我们机构中,腹裂发病率的周期性变化与文献中其他大型系列研究的情况相同,我们对可能导致这种变化的流行病学因素进行了回顾。我们在病例对照的基础上研究了患者的20个不同变量。其中只有5个在病例组和对照组之间存在显著差异。(出生体重、孕周、感染、妊娠前三个月使用的药物以及母亲年龄)。结果表明,环境因素在腹裂病因学中的作用比遗传因素更为重要。