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目的探讨应用一期保留囊膜生理盐水袋修补,二期双重减张缝合方法治疗新生儿先天性巨型脐膨出的临床疗效。方法采用分期修补术:一期应用保留囊膜生理盐水袋将脱出腹腔内容物还纳于腹腔内,二期采用双重减张缝合分期修复先天性巨型脐膨出。结果本组治疗先天性巨型脐膨出15例,其中治愈14例,死亡1例,无切口疝,切口裂开发生,12例存活患儿获1年以上随访,发育基本正常,未见明显消化吸收障碍。结论对于巨型脐膨出术前应保留囊膜,分期修补术治疗新生儿先天性巨型脐膨出的方法操作简单,安全有效。
Objective To investigate the clinical effect of using one-stage preservation of saline bag and two-stage double-suture method in the treatment of neonatal congenital giant umbilical swelling. Methods The method of staging repair was used. The first phase was to retain the bag of saline solution and the contents of prolapsed intraperitoneal cavity were also placed in abdominal cavity. The second stage was performed by double sutured suture to repair congenital giant umbilical swelling. Results The group treated 15 cases of congenital giant umbilical swelling, of which 14 cases were cured, 1 died, no incision hernia, incision rupture occurred, 12 cases of survived children were followed up for more than 1 year, basically normal development, no obvious digestion Absorption disorders. Conclusions The method of phacoemulsification for the treatment of neonatal congenital giant umbilical swelling should be simple, safe and effective.