Cheng Qianqian,Wu Yeming,Wang Jun,et al.Analysis of related factors affecting neonatal sputum survival rate-Comparison between open surgery and endoscopic surgery[J].Journal of Clinical Pediatric Surgery,,18():237-241.[doi:10.3969/j.issn.1671-6353.2019.03.016]
Analysis of related factors affecting neonatal sputum survival rate-Comparison between open surgery and endoscopic surgery
- Keywords:
- Thoracoscopes; Infant/Newborn; Hernia/Diaphragmatic; Treatment Outcome
- CLC:
- R722.19;R616.5
- Abstract:
- Objective To explore the risk factors associated with the survival rate of congenital diaphragmatic hernia (CDH) children and the application of mini-invasive surgery.Methods The clinical data of 76 hospitalized CDH neonates undergoing surgery from January 2006 to March 2016 were retrospectively analyzed.And the relevant prognostic factors were analyzed.And open surgery and endoscopy were performed to evaluate the outcomes of endoscopic repair of neonatal CDH.Results The age was ≤ 28 days.Endoscopy (n=29) and open surgery (n=47) were performed.Postoperative death or exacerbation leading to abandoning treatment in 18 neonates (17.5%) aged under 1 month.Mortality was 10.3% and 31.9% respectively in endoscopic versus open surgery group.Comparing poor prognosis group with good prognosis group,the prognosis of CDH was correlated with prenatal diagnosis gestational age,postpartum Apgar score,birth weight and pulmonary hypertension.However,it was not correlated with the choice of endoscopic surgery.Conclusion With continuous refining of endoscopic techniques,some early surgical contraindications for CDH should be reconsidered.
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Memo
收稿日期:2018-05-03。
通讯作者:吴晔明,Email:wuymsh@163.com