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目的:总结新生儿先天性消化道畸形的分类与其相关的临床表现,提高诊断治疗水平。方法:对2000~2008年湖北省荆门市第一人民医院收治的143例消化道先天畸形患儿进行回顾性分析。结果:消化道先天畸形以小肠闭锁或狭窄最多见(27.3%),其次是十二指肠狭窄、闭锁、幽门肥厚性狭窄、结肠闭锁、先天性巨结肠等。临床表现以呕吐最多(86%),其次为腹胀(82.5%)、胎便排出异常(57.3%)。143例手术治疗75例,治愈69例,占92%。结论:掌握先天性消化道畸形的特点有助于早期诊断和及时治疗。
Objective: To summarize the classification of neonatal congenital gastrointestinal malformations and their clinical manifestations, improve the diagnosis and treatment. Methods: A retrospective analysis was performed on 143 children with digestive tract congenital anomalies admitted to the First People’s Hospital of Jingmen City, Hubei Province from 2000 to 2008. Results: The incidence of congenital malformation of the digestive tract was the most common (27.3%) with small intestine atresia or stenosis, followed by duodenal stenosis, atresia, pyloric hypertrophic stenosis, colon atresia and Hirschsprung’s disease. The clinical manifestations were vomiting (86%), followed by abdominal distension (82.5%) and abnormal meconium aspiration (57.3%). 143 cases of surgical treatment of 75 cases, 69 cases were cured, accounting for 92%. Conclusion: To master the characteristics of congenital gastrointestinal malformations help early diagnosis and timely treatment.