摘要
目的探讨先天性肠闭锁产前超声诊断的价值及对预后的影响。方法选取2013年1月～2015年12月在我院住院治疗的78例先天性肠闭锁患儿，根据诊断时间的不同分为产前诊断组（40例）和产后诊断组（38例），比较两组患儿的病死率、就诊时间、出生后至手术时间、术后肠外营养（TPN）应用率、术后并发症发生率。结果产前诊断组患儿病死率小于产后诊断组（P〈0．05）；产前诊断组患儿就诊时间和出生后至手术时间均显著短于产后诊断组（P〈0．05）；产前诊断组患儿术后TPN应用〉7d的比例和术后并发症发生率与产后诊断组比较差异具有统计学意义（P〈0．05）。结论相较于产后诊断，产前超声诊断有助于缩短疑似先天性肠闭锁患儿的手术时间，降低肠外营养应用率，减少术后并发症，预防价值优于产后诊断。
Objective To explore the value and prognosis of prenatal ultrasound diagnosis on congenital intesti- nal atresia. Methods A total of 78 patients with congenital intestinal atresia were selected from Jan. 2013 to Dec. 2015. They were divided into prenatal diagnosis group （40 cases）and postnatal diagnosis group （38 cases）. The mortality, admission time, time from birth to operation, postoperative parenteral nutrition （TPN）, occurrence rate of postoperative complications were compared. Results The mortality of prenatal diagnosis group was lower than that of postnatal diagnosis group（P 〈0.05 ）. Admission time and time from birth to operation were significantly shorter in prenatal di- agnosis group than those in postnatal diagnosis group （ P 〈 0.05 ）. The proportion of postoperative TPN application more than 7 days and occurrence rate of postoperative complications were significantly lower in prenatal diagnosis group than those in postnatal diagnosis group （P 〈 0.05）. Conclusion Prenatal diagnosis can help to shorten operation time, reduce TPN application rate and postoperative complications in children with suspected congenital intestinal atresia, the preventive value of which is superior to postnatal ultrasound diagnosis.
作者
秦川川
张巍
Qin Chuanchuan Zhang Wei(Department of Pediatric Surgery,Anyang Maternal and Child Health Care Hospital,Anyang 455000, Chin)
出处
《医学新知》
CAS
2017年第3期258-259,262,共3页
New Medicine
关键词
先天性肠闭锁
产前超声诊断
产后超声诊断
预后影响
应用价值
Congenital intestinal atresia
Prenatal ultrasound diagnosis
Postnatal ultrasound diagnosis
Prognostic effect
Application value
