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目的:总结先天性胃壁肌层缺损的诊疗经验,提高该病生存率。方法:总结回顾9例先天性胃壁肌层缺损患儿的临床资料。结果:男6例,女3例,8例存活,1例放弃,平均住院时间(40.00±34.72)天,平均胎龄(34.26±3.76)w,平均出生体重(2 131.11±798.80)g;胃壁平均缺损面积(11.06±4.19)cm2,手术平均时间(94.89±37.71)min,手术平均出血量(5.11±3.98)m L。结论:先天性胃壁肌层缺损死亡率高,术前、术后由NICU医师及新生儿外科医师合作进行规范治疗能提高生存率。
OBJECTIVE: To summarize the diagnosis and treatment of congenital gastric myometrial defect and improve its survival rate. Methods: The clinical data of 9 children with congenital gastric muscular dysplasia were retrospectively reviewed. Results: There were 6 males and 3 females, 8 survived, one gave up, the average length of hospital stay was (40.00 ± 34.72) days, the average gestational age was 34.26 ± 3.76 w, the average birth weight was 2 131.11 ± 798.80 g. The mean defect area (11.06 ± 4.19) cm2, mean operative time (94.89 ± 37.71) min and mean operative blood loss (5.11 ± 3.98) mL. Conclusion: The mortality rate of congenital gastric myometrial defect is high. Preoperative and postoperative co-operation of NICU and neonatal surgeons can improve the survival rate.