用硅胶袋修复巨型脐膨出与腹裂13例报告
- 摘要:
- 目的总结应用硅胶袋分期修复巨型脐膨出和腹裂的治疗经验。方法回顾性分析2003年以来应用硅胶袋进行分期腹壁修补术的11例患儿病例资料。其中巨型脐膨出3例,腹裂8例。均于气管插管全身麻醉下手术,将无菌硅胶袋与腹壁缺损边缘缝合成囊袋状,包裹膨出的脏器,术后逐渐挤压囊袋至内脏还纳入腹腔后去除囊袋,分层关闭腹壁缺损。脐膨出患儿行脐部成形。全部患儿术后均予呼吸机支持2～24h。结果全组患儿膨出脏器均于术后7～10d还纳入腹腔,此时腹壁无明显张力,术后无腹壁切口裂开及腹腔继发感染,伤口恢复良好,生长发育正常。结论采用无菌硅胶袋替代涤纶补片行腹壁修补术,硅胶袋与腹壁缝合后反应小,费用低,是一种安全、疗效可靠的方法。
相似文献/References:
[1]王勇,汤绍涛,毛永忠,等.腔镜下手术治疗小儿膈肌疾病31例[J].临床小儿外科杂志,2010,9(06):441.
[2]寿铁军李勇马能强龚晟.腹腔镜手术治疗小儿腹股沟斜疝1582例[J].临床小儿外科杂志,2011,10(01):0.
[3]朱琳琳吕志葆陈 功肖现民.腹腔镜下U型缝合膈肌缺损治疗儿童先天性胸骨后疝[J].临床小儿外科杂志,2010,9(03):0.
ZHU Lin-lin,LV Zhi-bao,CHEN Gong,et al.Laparoscopic-assisted full-thickness anterior abdominal wall repair of Morgagni hernia in children.[J].Journal of Clinical Pediatric Surgery,2010,9(03):0.
[4].小儿先天性腰疝治疗分析[J].临床小儿外科杂志,2010,9(04):0.
GUO Zheng-tuan,XU Quan,LI Peng,et al.Diagnosis and management of congenital lumbar hernias in children.[J].Journal of Clinical Pediatric Surgery,2010,9(03):0.
[5]唐志贤,余家康,王凤华,等.地塞米松对先天性膈疝胎鼠肺发育的影响[J].临床小儿外科杂志,2008,7(01):8.
[6]浦征宇,潘永康,段光琦,等.小儿腹股沟嵌顿性斜疝合并阑尾炎的临床分析[J].临床小儿外科杂志,2008,7(01):37.
[7]葛午平,俞钢,朱小春,等.新生儿小型脐膨出的产前诊断与手法复位治疗[J].临床小儿外科杂志,2008,7(04):0.
[8]杜宝峰,易军,刘继炎,等.腹腔镜治疗复发性斜疝58例[J].临床小儿外科杂志,2008,7(04):0.
[9]王剑锋,刘国庆,唐华建,等.腹腔镜下网片修补小儿巨大腹股沟斜疝的初步报告[J].临床小儿外科杂志,2007,6(01):31.
[10]唐剑平,何东北,唐向东,等.腹腔镜下小儿腹股沟斜疝高位结扎术45例[J].临床小儿外科杂志,2007,6(01):24.
[11]钭金法.新生儿巨型脐膨出的治疗策略[J].临床小儿外科杂志,2020,19(04):292.[doi:10.3969/j.issn.1671-6353.2020.04.002]
Tou Jinfa.Treatment strategy for neonatal giant omphalocele[J].Journal of Clinical Pediatric Surgery,2020,19(03):292.[doi:10.3969/j.issn.1671-6353.2020.04.002]
[12]黄紫君,徐素婷,李莎,等.程序化包扎法、延期手术治疗巨型脐膨出的疗效分析[J].临床小儿外科杂志,2020,19(04):301.[doi:10.3969/j.issn.1671-6353.2020.04.004]
Huang Zijun,Xu Suting,Li Sha,et al.Efficacy of treating giant omphalocele by procedural dressing and delayed closure[J].Journal of Clinical Pediatric Surgery,2020,19(03):301.[doi:10.3969/j.issn.1671-6353.2020.04.004]
[13]曾甜,李新宁,黄晶晶,等.同种异体脱细胞真皮修补术治疗巨型脐膨出的疗效分析[J].临床小儿外科杂志,2020,19(04):306.[doi:10.3969/j.issn.1671-6353.2020.04.005]
Zeng Tian,Li Xinning,Huang Jingjing,et al.Efficacy of allogeneic acellular dermal mantrix in repairing giant omphalocele[J].Journal of Clinical Pediatric Surgery,2020,19(03):306.[doi:10.3969/j.issn.1671-6353.2020.04.005]
[14]陈枫,傅忠,方涛,等.囊膜破裂型脐膨出并脱出肠管扭转嵌顿伴回肠闭锁的诊治及文献复习[J].临床小儿外科杂志,2022,21(02):179.[doi:10.3760/cma.j.cn.101785-202012030-015]
Chen Feng,Fu Zhong,Fang Tao,et al.Ruptured Omphalocele with prolapsed-intestinal volvulus with incarcerated necrosis and ileal atresia: a case report and literature review[J].Journal of Clinical Pediatric Surgery,2022,21(03):179.[doi:10.3760/cma.j.cn.101785-202012030-015]