Wang Jinhu,Zhao Xuwen,Du Xiaobin,et al.Application of valve enterostomy during neonatal surgery[J].Journal of Clinical Pediatric Surgery,,19():36-39.[doi:10.3969/j.issn.1671-6353.2020.01.007]
Application of valve enterostomy during neonatal surgery
- Keywords:
- Enterostomy; Infant; Newborn; Treatment Outcome
- CLC:
- R726;R574.5
- Abstract:
- Objective To explore the clinical value of flap-type small intestine fistula in reducing postoperative complications of neonatal/infantile small intestine fistula.Methods According to the different treatment options,23 selected children were divided into valve-type enterodenectomy group (n=13) and conventional enteric fistula group (n=10).In valve-type enterostomy group,muscle layers of intestinal tract,peritoneum and abdominal wall were sutured together with skin,subcutaneous layer and abdominal wall at a distance from suture level.The inner segment of intestine formed a flap-like crease structure similar to ileocecal portion.The changes of hydroelectric imbalance,skin erosion,intestinal tube prolapse and defecation were compared between two groups.Results Compared with conventional ostomy group,flap-like operation could reduce the daily quality of defecation per 100 ml of milk (P<0.05),lower the daily mass per kilogram of body weight and (P<0.05) and boost weekly body mass growth (P<0.05); at the same time,it effectively prevented intestinal tube prolapse and reduce the degree of skin erosion around stoma.Conclusion Valve-type small intestine fistula can reduce fecal water content in bowel fistula,lower the incidence of postoperative complications after operations for intestinal fistula,lessen the burden of care and significantly improve the prognosis in neonates and toddlers.
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Memo
收稿日期:2018-11-13。
基金项目:天津市卫生局科技基金项目（编号：2013KY12）
通讯作者:胡博,Email:surgeonhubo@163.com