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目的探讨新生儿十二指肠梗阻的诊治方法与病理特点。方法总结近6年来50例新生儿十二指肠梗阻的临床资料,对术前诊断、病理分型及治疗方法进行回顾性分析。结果50例患儿术前均行X线腹部平片检查,45例行上消化道造影检查,18例行钡灌肠检查,10例行泛影葡胺灌肠检查,22例行超声检查。50例患儿均在全麻下实施手术治疗,手术证实先天性肠旋转不良28例(56%),十二指肠膜状狭窄、闭锁15例(30%),环状胰腺7例(14%),治愈50例。结论术前X线检查是诊断新生儿十二指肠梗阻的有效方法,先天性肠旋转不良为首发病理类型,一旦确诊宜积极早期手术。
Objective To investigate the diagnosis and treatment of neonatal duodenal obstruction and its pathological features. Methods The clinical data of 50 cases of duodenal obstruction in newborns in recent 6 years were summarized. The preoperative diagnosis, pathological classification and treatment were retrospectively analyzed. Results Fifty cases underwent preoperative radiographs of abdominal plain radiography, 45 cases of upper gastrointestinal imaging, 18 cases of barium enema, 10 cases of diatrizoencephalitis, 22 cases of ultrasound. Fifty patients underwent surgical treatment under general anesthesia. Surgical confirmation of congenital malrotation occurred in 28 patients (56%), duodenal membranous stenosis, atresia in 15 (30%), and ring-shaped pancreas in 7 (14) %), Cured 50 cases. Conclusion Preoperative X-ray examination is an effective method to diagnose neonatal duodenal obstruction. Congenital intestinal dysplasia is the first pathological type. Once diagnosed, active early surgery is recommended.