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先天性肠旋转不良是一种复杂的消化道畸形,是婴儿急性肠梗阻的常见原因之一,本文通过对收治并经手术证实的32例婴儿先天性肠旋转不良的治疗分析,认为本病多在出生后数日至1月内出现症状,以反复呕吐带有胆汁的胃内容物为首发症状,腹部X线检查有助于诊断。本病有肠梗阻表现时需要手术治疗,Ladd术式为基本手术方法。术中发现其它胃肠道畸形时应同时手术纠正。本病除合并肠扭转、肠坏死危及生命以及大段肠管坏死切除后可能发生短肠综合征或全肠坏死造成死亡外,预后良好。本组1例死于大部分小肠坏死,31例治愈出院。21例获随访3月～4年,生长发育好。
Congenital intestinal dysplasia is a complex gastrointestinal malformations, is one of the common causes of infant acute intestinal obstruction, this article through the treatment of 32 cases of congenital intestinal malformations admitted to the operation and confirmed that the disease is more In the first few days after birth to January appear symptoms, repeated vomiting with bile stomach contents as the first symptom, abdominal X-ray examination can help diagnose. The disease requires intestinal surgery performance of intestinal obstruction, Ladd surgery as the basic surgical methods. Intraoperative findings of other gastrointestinal deformities should be corrected at the same time surgery. The disease in addition to combined intestinal torsion, intestinal necrosis life-threatening and large bowel necrosis may occur after resection of short bowel syndrome or total bowel necrosis, the prognosis is good. One patient died of most intestinal necrosis in this group and 31 patients were cured. 21 cases were followed up for 3 months to 4 years, good growth and development.