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在先天性双管阻塞中,双管结肠术与双管结肠术:一项回顾性研究

R Diposarosa¹, D Iskandar², P Oktaviani¹

¹Pediatric Surgery Division, Department of Surgery, Padjadjaran University - Hasan Sadikin General Hospital, Bandung, Indonesia.

The Medical journal of Malaysia

|December 26, 2025

概括

双胞胎结节术 (DJ) 和双胞胎结节术 (DD) 在新生儿的先天双胞胎阻塞 (CDO) 中显示了类似的短期结果. 这些手术技术是治疗CDO的可行选择,可比的恢复时间和停留时间.

科学领域:

儿科手术儿科手术
新生儿护理新生儿护理
胃肠道手术胃肠道手术

背景情况:

先天性十二指管阻塞 (CDO) 是新生儿肠道堵塞的常见原因,通常需要手术干预.
双胞胎双胞胎口腔术 (DD) 通常是首选的,但双胞胎双胞胎口腔术 (DJ) 是另一种选择,特别是对于早产或小婴儿.
对CDO的外科手术方法的选择取决于手术内发现,无张力解剖的可行性以及外科医生的偏好.

研究的目的:

为了比较双胞胎结节术 (DJ) 与双胞胎结节术 (DD) 在新生儿中具有先天性十二指肠阻塞 (CDO) 的短期结果.

主要方法:

在哈桑·萨迪金班敦总医院对36名CDO患者进行了回顾性,横截面研究 (2019-2024年).
从医疗记录中收集的数据包括妊娠年龄,手术时的年龄,手术技术 (DJ与DD),手术时间,食进展,停留时间和死亡率.
所有32名手术治疗的患者都接受了开放式手术.

主要成果:

在22名患者 (69%) 进行了双胞胎双胞胎切除术 (DD),在10名患者 (31%) 进行了双胞胎内切除术 (DJ).
在DD和DJ组之间,在首次养的时间 (术后第8天与9天;P=0.3),完全养的时间 (平均27.1天与25.4天;p=0.8) 或停留时间 (平均27.6天与34.6天;p=0.9) 之间没有发现显著差异.
由于败血症的术后死亡发生在每个手术组的三名患者中.

结论:

双胞胎结节术 (DJ) 和双胞胎结节术 (DD) 在患有先天性十二指肠阻塞 (CDO) 的新生儿中显示出相似的短期结果.
这些发现支持使用DJ和DD作为新生儿CDO开放修复的有效手术选择.

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