目的　为早期诊断和治疗新生儿消化道畸形和腹壁缺损，提高治愈率。方法　对Ｂ超检查发现的３ 例胎儿畸形（ 小肠闭锁并肠扭转坏死穿孔１ 例、脐膨出并脐肠瘘１ 例、腹裂１ 例），出生后短时间内进行一期手术矫治，从出生到接受手术时间平均为１３０ 分钟。结果　全部病例均获治愈。术后分别随访１１ 年、１ 年和６ 个月，生长发育良好。结论　产前Ｂ 超检查胎儿消化道畸形及腹壁缺损准确率高；出生后短时间进行手术可使手术更加顺利，从而提高治愈率 The purpose of early diagnosis and treatment of neonatal gastrointestinal malformations and abdominal wall defects, improve the cure rate. Methods Three cases of fetal malformations (small intestine atresia with intestinal torsion necrosis perforation, umbilical swelling and umbilical fistula in 1 case and abdominal disruption in 1 case) were diagnosed by B-ultrasound. The average time from birth to surgery was 130 minutes. Results All cases were cured. The patients were followed up for 11 years, 1 year and 6 months respectively, with good growth and development. Conclusion Prenatal B ultrasound examination of fetal alimentary canal malformations and abdominal wall defects with high accuracy; a short period of time after surgery can make surgery more smoothly, so as to improve the cure rate