頁籤選單縮合
題 名 | Gastroschisis--An Eight-Year Experience=先天性裂腹:八年的經驗 |
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作 者 | 陳芸; 賴鴻緒; 陳維昭; 陳秋江; 洪文宗; | 書刊名 | 中華民國外科醫學會雜誌 |
卷 期 | 30:2 民86.03-04 |
頁 次 | 頁92-97 |
分類號 | 417.107 |
關鍵詞 | 先天性裂腹; Gastroschisis; Surgery; Prenatal diagnosis; Associated anomalies; |
語 文 | 英文(English) |
中文摘要 | 本文回顧臺大醫院過去八年接受過手術四十五名先天性裂腹之新生兒,共二十八 名男性,十七名女性。十九個病人經由產前超音波診斷。經由自然生產有二十五名,其他二 十名經由剖腹生產。十三個病人接受逐層縫合手術,三十四個病人接受階段性手術(其中二 十四個接受表層皮瓣縫合手術,其餘八名接受人工腹膜暫時覆蓋之階段性手術)。百分之二 十二的病人伴有其它重大畸型,整體存活率為百分之八十四點四。我們討論先天性裂腹畸形 病患產前、中、後之處理原則。 |
英文摘要 | Forty-five neonates (28 males and 17 females) with gastroschisis and under-going surgical repair in National Taiwan University Hospital during an 8-year period were reviewed. Nineteen cases (42.2 ﹪ ) were prenatally diagnosed by sonography. Twenty-five cases were spontaneously delivered and 20 were delivered by cesarean section. The abdominal defect was repaired by layered primary closure among 13 cases and by staged operations among the remaining 32 (skin flap closure in 24, and silastic pouch closure in 8). Twenty-Two percent of all 45 cases (10/45) had major associated anomalies which consisted of 20 ﹪ gastrointestinal abnormalities and 2 ﹪ extra-gastrointestinal anomalies. The overall survival rate was 84.4 ﹪. We reviewed the principles of prenatal, perinatal, and postnatal management of gastroschisis. |
本系統中英文摘要資訊取自各篇刊載內容。