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目的:总结15例新生儿小肠闭锁的手术治疗经验,结合文献探讨新生儿小肠闭锁的治疗方法。方法:对空、回肠闭锁患儿采取端背吻合术、端侧吻合术;对靠近回盲部的回肠闭锁患儿,在传统肠切除肠吻合手术的基础上增加经阑尾残端向吻合口近端回肠放置导管减压。结果:15例均行手术治疗,治愈14例,死亡1例,治愈率为93.3%。结论:选择正确合适的手术方法,加强术后管理,是提高新生儿肠闭锁治愈率的重要因素。
Objective: To summarize the experience of surgical treatment of 15 cases of small intestine atresia in neonates, and to discuss the treatment of small bowel atresia in the newborn with literature. Methods: The children with ileum and ileum obliteration were treated with end-to-end anastomosis and end-to-end anastomosis. In children with ileal atresia near the ileocecal region, the anastomotic stoma End ileal catheter placed decompression. Results: All the 15 cases underwent surgical treatment, 14 cases were cured and 1 died. The cure rate was 93.3%. Conclusion: Choosing the correct and appropriate operative method and strengthening postoperative management are important factors to improve the cure rate of intestinal atresia in neonates.