| 摘要: |
| ［摘要］ 目的 探讨先天性脐肠瘘及并发肠脱垂的诊断和手术方法。方法 回顾分析医院1985～2009年收治的10例新生儿脐肠瘘（其中2例并发小肠脱垂）的临床资料，10例均行手术治疗，其中7例取右侧脐旁直切口，2例取脐下弧形切口，1例绕脐作梭形切口。结果 9例痊愈，1例术后第8天窒息死亡。结论 先天性脐肠瘘临床罕见，早期容易误诊，发生并发症后果严重，一旦诊断明确，及时手术效果良好。 |
| 关键词: 先天性脐肠瘘 并发症 外科手术 |
| DOI：10.3969/j.issn.1674-3806.2011.03.19 |
| 分类号:R 656.7 |
| 基金项目: |
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| The diagnosis and treatment of congenital omphalomesenteric fistula: report of 10 cases |
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XU Bing, SUN Chuan-cheng, LIU Hu
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Department of Pediatric Surgery, the Affiliated Provincial Hospital of Anhui Medical University, Hefei 230001, China
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| Abstract: |
| ［Abstract］ Objective To explore the diagnosis and treatment of congenital omphalomesenteric fistula and complication of intestinal prolapse.Methods The clinical data of 10 newborn with congenital omphalomesenteric fistula from 1985 to 2009 were retrospectively analyzed. All of them were treated by operation, including 2 cases of complication of intestinal prolapse.Seven cases were selected straight incision next to the right of the umbilicus, 2 cases curved incision under umbilicus, 1 cases fusiform incision around the umbilicus.Results Nine casas were cured and 1 cases died from suffocation.Conclusion Congenital omphalomesenteric fistula is rare in clinic and is easy to be misdiagnosed. Should the complications take place, the consequences would can be fatal.Once diagnosed，timely surgery would get a good effect. |
| Key words: Congenital omphalomesenteric fistula Complication Surgical procedure |
