先天性膈疝的子宫外产时处理与预后探讨

发布时间：2018-03-30 14:26

本文选题：先天性膈疝　切入点：临床特点　出处：《中国实用妇科与产科杂志》2017年05期

【摘要】：目的探讨先天性膈疝孕妇及新生儿临床特点,建立先天性膈疝产时处理流程规范,提高先天性膈疝患儿围产期生存率。方法回顾性分析中国医科大学附属盛京医院2008年1月至2016年12月收治的23例先天性膈疝患者临床资料。结果 23例患儿均接受子宫外产时处理(EXIT)手术,20例患儿出生后行膈肌修补术,2例患儿放弃治疗,1例患儿暂未手术。远期随访19例患儿生存,2例失访。结论轻中度先天性膈疝患儿孕期通过超声诊断后应转入产前诊断中心,密切监测并完善相关检查,分娩时多学科合作行EXIT手术,并在新生儿呼吸、循环系统功能稳定后行膈疝修补手术,能够得到良好的预后结局。
[Abstract]:Objective to investigate the clinical characteristics of pregnant women and newborns with congenital diaphragmatic hernia and to establish a standard procedure for the management of congenital diaphragmatic hernia. The perinatal survival rate of children with congenital diaphragmatic hernia was improved. Methods the clinical data of 23 patients with congenital diaphragmatic hernia treated in Shengjing Hospital affiliated to China Medical University from January 2008 to December 2016 were retrospectively analyzed. Extrauterine excision was performed in 20 children with diaphragmatic repair after birth. 1 case was given up and 1 case was left unoperated. Long-term follow-up of 19 cases of children with survival and 2 cases of missing visit. Conclusion Children with mild and moderate congenital diaphragmatic hernia during pregnancy. After ultrasound diagnosis, they should be transferred to the prenatal diagnosis center, Close monitoring and improvement of relevant examination, multidisciplinary cooperation during labor EXIT surgery, and the neonatal respiratory and circulatory system after the repair of diaphragmatic hernia repair surgery, can get a good outcome.
【作者单位】：中国医科大学附属盛京医院妇产科;
【基金】：基金项目:常见高危胎儿诊治技术标准及规范的建立与优化(201402006)
【分类号】：R726.5

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