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目的 介绍应用免缝SILO袋分期治疗新生儿腹裂。方法 收集芝加哥大学儿童医院 1998年 1月至2 0 0 2年 7月应用免缝SILO袋分期治疗 15例腹裂患儿。患儿体重 2 1～ 3 5kg ,根据腹壁缺损大小选择环口直径 3～ 5cm的SILO袋。脏器回纳腹腔后择期关闭腹壁。结果 15例患儿全部顺利分期关闭腹壁缺损。 2例 (13 3% )SILO袋在使用中滑出腹壁 ,立即于床边重新放置SILO袋。SILO袋平均使用天数为 3 7d ,完全经口进食平均为2 2d。 1例患儿伴有小肠闭锁做肠吻合后再安置SILO袋。随访 3个月至 4年 ,15例全部存活。结论 应用免缝SILO袋分期关闭腹壁缺损是一种安全、可靠、有效的方法。
Objective To introduce the application of suture-free SILO suture for the treatment of neonate gastroschisis. Methods A total of 15 children with inflamed abdomen were treated with suture-free SILO sacking from January 1998 to July 2002 in Children’s Hospital of University of Chicago. Children with body weight 2 1 ~ 3 5kg, according to the size of the abdominal wall defect size selection ring mouth diameter 3 ~ 5cm SILO bag. Organ back to the abdominal cavity after abdomen elective closure. Results All 15 cases were successfully staged off the abdominal wall defects. Two (13 3%) SILO bags slid out of the abdominal wall during use and immediately placed the SILO bag back to the bedside. SILO bags average number of days for the use of 37d, the average oral intake of an average of 22d. One patient had an intestinal anastomosis with an intestinal anastomosis and then placed the SILO bag. All the patients survived after 3 months to 4 years of follow-up. Conclusion The application of suture-free SILO suture to close the abdominal wall defect is a safe, reliable and effective method.