Wang Kun,Cai Jing,Lu Yingchou,et al.Clinical application of modified enterostomic device during neonatal enterostomy[J].Journal of Clinical Pediatric Surgery,,19():40-44.[doi:10.3969/j.issn.1671-6353.2020.01.008]
Clinical application of modified enterostomic device during neonatal enterostomy
- Keywords:
- Enterostomy; Postoperative Complications; Infant Newborn
- CLC:
- R726.1;R574.5
- Abstract:
- Objective To explore the safety and value of improved enterostomic drainage device in the treatment of neonatal intestinal fistula.Methods A retrospective analysis was performed for 45 hospitalized cases of neonatal intestinal fistula undergoing emergency or sub-emergency laparotomy from 2011 to 2018.Intestinal fistula surgery was divided into conventional group (n=27) and modified group (n=18) by parallel control and randomized allocation.The general clinical data of two groups were compared.The difference was not statistically significant (P>0.05).The modified group underwent circumcision and contraception at the proximal end of fistula.And an intestinal fistula drainage device was applied.The surgical outcome,intraoperative blood loss,number of unplanned reoperations,operative duration,postoperative hospital stay and postoperative complications were compared between two groups.Results All operations were successful.In improved group,all cases were cured; in traditional group,there was one case of mortality of septic shock due to multiple organ failure.The postoperative complications of modified group were lower than those of traditional group.And the difference was statistically significant (P<0.05).The operative duration of modified group was (89.50±16.73) min and that of traditional group (86.07±17.27) min.And the difference was not statistically significant (P>0.05).No complications occurred in modified group while 14 cases had complications in conventional group.And the difference was statistically significant (P<0.05).The number of hospital stays was (19.89±4.54) days in modified group and (24.73±11.57) days in conventional group.And the difference was statistically significant (P<0.05).One patient in modified group was re-operated while 10 patients in traditional group underwent another operation.And the difference was statistically significant (P<0.05).Conclusion Clinical application of modified stoma drainage device for neonatal intestinal fistula can effectively reduce the incidence of postoperative complications.With the advantages of simpler handling,pleasant appearance and convenient postoperative care,it is worthy of wider popularization.
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Memo
收稿日期:2018-12-29。
基金项目:东莞市社会科技发展一般项目（编号：2018507150071531）
通讯作者:伍岗泉,Email:mmwgq71@126.com