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目的 :评价Ⅰ期修补腹裂的早期转归。方法 :回顾分析我院小儿外科 17年间收治的腹裂病历 18份。结果 :产前诊断 16例 (89% )。全部病婴I期修补腹壁缺损。出生至手术的平均时间 5h(0 .5h～ 17h)。 4例合并肠道畸形和 1例并发肠坏死者需要更多的手术和更长的时间达到完全喂养 (P<0 .0 1)。 3例死亡 (16 .6 % ) ,其中 2例死于感染。结论 :我们的经验提示腹裂的死亡率不超过 16 .6 % ,降低死亡率主要是防治感染并发症 ,Ⅰ期修补可改善早期转归。
OBJECTIVE: To evaluate the early outcome of stage Ⅰ repair of gastrocnemius. Methods: A retrospective analysis of pediatric surgery in our hospital for 17 years treated 18 cases of abdominal cracking history. Results: Prenatal diagnosis in 16 cases (89%). All sick baby I repair abdominal defect. The average time from birth to surgery 5h (0.5h ~ 17h). Four patients with bowel deformity and one with intestinal necrosis required more surgery and more time to achieve complete feeding (P <0.01). 3 died (16.6%), of which 2 died of infection. Conclusions: Our experience suggests that the rate of death from gastroschisis does not exceed 16.6%. The reduction of mortality is mainly for the prevention and treatment of infection complications. Stage Ⅰ repair can improve early outcome.