摘要
目的 了解消化道畸形伴发多发性畸形或消化道其他畸形的发病情况。 方法 对我院近30余年来(60年代～90年代)手术记录完整的376例消化道畸形病例,其中肠闭锁168例,肠狭窄79例,肠旋转不良109例及环状胰腺20例,进行回顾性研究其伴发多发性畸形及消化道其他畸形所占比例。结果168例肠闭锁中多发性肠闭锁24例(14.3％)。伴发消化道其他畸形者57例(33.9％),其中胎粪性腹膜炎42例(25.0％),且其发病与年份有密切关系,在1985年以前的92例中伴胎粪性腹膜炎者34例占37％,而1996年以后的62例中仅有8例,占12.9％,其伴发率明显减少(P<0.005)。肠狭窄79例,多发性肠狭窄2例(2.5％),消化道其他畸形者14例(17.7％)。肠旋转不良109例中伴消化道其他畸形者21例,占19.3％,以十二指肠或空肠闭锁或狭窄最多,共13例,占伴发畸形的62％。在20例环状胰腺中伴发消化道其他畸形者4例,占20.0％。 结论 消化道畸形呈多发畸形或伴发消化道其他畸形的发病率很高,故术中应仔细检查以免遗漏。
Objective To explore the incidence of alimentary tract malformation coexisting with multiple or other alimentary tract malformation. Methods 376 patients with alimentary tract malformation and complete records in our hospital from 1960s to 1990s were studied retrospectively to account the proportion of coexisted with multiple and other alimentary tract malformation. These cases included intestinal atresia in 168, intestinal stenosis in 79, intestinal malrotation in 109 and annular pancreas in 20. Results Of 168 cases with intestinal atresia, 24 (14.3%) showed multiple atresias, 57 (33.9%) showed coexisting with other alimentary tract malformation, and among them,meconium peritonitis were 42( 25.0% )cases. And its incidence was related to time. 34 of 92 cases showed meconium peritonitis before 1985 and the proportion was 37%, but after 1996, there was only 8 of 62 cases and the proportion was 12.9%. The incidence was decreased significantly (p<0.005 = .Of 79 cases of intestinal stenosis, 2 (2.5% ) showed coexisted with multiple stenoses and 14 (17.7% ) showed other alimentary tract malformation. Of 109 cases with intestinal malrotation, coexisted with other alimentary tract malformation were 21 (19.3% ) and the most common diseases of this type was duodenal or jejunal atresia or stenosis, there were 13 cases, it accouted for 62% in the deformation. Of 20 cases with annular pancreas, 4 (20.0 % ) showed coexisted with other alimentary tract malformation. Conclusions The incidence of alimentary tract malformation coexisting multiple or other alimentary tract malformation was very high, so operations should be performed carefully to avoid omission.
出处
《临床小儿外科杂志》
CAS
2002年第1期12-14,共3页
Journal of Clinical Pediatric Surgery
关键词
消化道畸形/并发症
Digestive System Abnormalities/CO
