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題 名 | Initial Percutaneous Peritoneal Drainage for Newborn Intestinal Perforation in Very-Low-Birth-Weight Infants=以經皮腹腔引流做為低體重新生兒腸穿孔之第一線手術治療 |
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作 者 | 陳肇真; 許凱熙; | 書刊名 | 臺灣外科醫學會雜誌 |
卷 期 | 43:4 2010.07-08[民99.07-08] |
頁 次 | 頁174-180 |
分類號 | 417.624 |
關鍵詞 | 經皮腹腔引流; 低體重新生兒; 腸穿孔; Focal intestinal perforation; Necrotizing enterocolitis; Laparotomy; Newborn intestinal perforation; Percutaneous peritoneal drainage; |
語 文 | 英文(English) |
中文摘要 | 低體重早產兒的新生兒腸穿孔是極為複雜之疾病,其中包括了局部腸穿孔急壞死性腸炎。低體重早產兒的新生兒腸穿孔之手術治療一般以經皮腹腔引流及剖腹手術為主,兩種治療處置之選擇仍未有定論。我們因此針對發生新生兒腸穿孔的低體重早產兒來探討經皮腹腔引流及剖腹手術兩種方法做為第一線治療的比較。在1989年到2005年的期間,共有36位低體重早產兒的新生兒腸穿孔接受了經皮腹腔引流或剖腹手術之治療,其中有19位局部腸穿孔及17位壞死性腸炎。分析結果顯示經皮腹腔引流的治療對兩組病人有改善存活率之趨勢,若合併兩組共36位低體重早產兒的新生兒腸穿孔病人比較,發現經皮腹腔引流之治療方式明顯與較佳存活及較少併發症相關,達統計學上的意義(P=0.036及0.015)。壞死性腸炎的病人明顯和併發症的發生有相關(P<0.0001)。根據以上發現,我們建議低體重早產兒的新生兒腸穿孔經診斷確定後,可考慮接受第一線的經皮腹腔引流治療,已達到較佳的預後結果。然而壞死性腸炎的病患因併發症較多且接受第一線的經皮腹腔引流治療後仍需剖腹手術的比例高,其最適當的治療處置有待進一步的研究。 |
英文摘要 | OBJECTIVE : Newborn intestinal perforation (NIP) in very-low-birth-weight (VLBW) premature neonates is a complex disease that includes focal intestinal perforation (FIP) and necrotizing enterocolitis (NEC) causing perforation. Surgical procedures for managing VLBW neonates with NIP generally include percutaneous peritoneal drainage (PPD) and laparotomy. The optimal choice between these two procedures remains controversial. The aim of this study is to evaluate the value of PPD as the initial management for patients with VLBW and NIP. METHODS : Between 1989 and 2005, a total of 36 VLBW infants with NIP undergoing either laparotomy or PPD at National Cheng-Kung University Hospital (NCKUH) were included in this study for evaluation and comparison of the clinical effects in relation to these two methods of surgical intervention. RESULTS : There were 19 patients with FIP and 17 patients with NEC. In all 36 VLBW patients with NIP, those undergoing PPD, as compared with those undergoing laparotomy alone, were associated with a better survival rate and a lower complication rate (P=0.036 and 0.015, respectively). Patients with NEC, compared to those with FIP, treated with either procedures, were significantly associated with an increased rate of complication (P<0.0001). CONCLUSIONS : This study demonstrates that initial PPD, compared with laparotomy, is a less radical procedure that is associated with better outcomes and less complications in VLBW neonates with NIP. However, a larger-scale study may be necessary for justifying PPD as the optimal initial surgical treatment of choice in these patients, especially those with NEC. |
本系統中英文摘要資訊取自各篇刊載內容。