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目的总结新生儿十二指肠隔膜型狭窄的诊治经验。方法回顾性分析2005年1月至2015年1月作者收治的14例新生儿十二指肠隔膜型狭窄患儿临床、腹部超声检查和手术资料。结果腹部超声检查14例,诊断为十二指肠隔膜型狭窄12例,1例误诊为十二指肠闭锁,1例漏诊。隔膜位于降部9例,位于水平部3例,十二指肠空肠曲2例。行隔膜切除、十二指肠纵切横缝术14例,12例术中所见与腹部超声表现基本相符,术后无肠穿孔、肠梗阻、吻合口漏、切口感染、切口裂开等并发症发生。术后随访8个月至10年,患儿均生长发育良好。结论腹部超声检查对新生儿十二指肠隔膜型狭窄的诊断与病因鉴别有重要意义,可作为新生儿十二指肠隔膜型狭窄的首选检查方法。隔膜切除、十二指肠纵切横缝术是较为可靠的治疗方法。
Objective To summarize the diagnosis and treatment of neonatal duodenal septum stenosis. Methods The clinical data, abdominal ultrasound and surgical data of 14 neonates with duodenal septal stenosis admitted from January 2005 to January 2015 were retrospectively analyzed. Results 14 cases of abdominal ultrasound examination, diagnosis of duodenal septal stenosis in 12 cases, 1 case misdiagnosed as duodenal atresia, 1 case missed diagnosis. Diaphragm in the lower part of the 9 cases, located in the level of 3 cases, 2 cases of duodenal jejunum. Line resection of the diaphragm, duodenal longitudinal incision in 14 cases, 12 cases of intraoperative findings and abdominal ultrasound basically consistent with no postoperative intestinal perforation, intestinal obstruction, anastomotic leakage, incision infection, incision rupture and other complications Disease occurs. All patients were followed up for 8 months to 10 years. All children developed well. Conclusion Abdominal ultrasonography is important for the diagnosis and etiological diagnosis of duodenal septal stenosis in neonates and can be used as the first choice of examination for duodenal septal stenosis in neonates. Septum resection, duodenal transverse incision is a more reliable method of treatment.