论文部分内容阅读
目的:探讨先天性空回肠盲端型(Ⅲ型)肠闭锁的可能病因、病变的宫内演变过程、临床表现的共同点与多样性。方法:回顾性分析9例手术证实的空回肠盲端型肠闭锁新生儿病例,收集其发病时间、症状、体征、影像学表现、手术所见及病理组织学检查,结合文献报告,对其病变进行分析。结果:患儿均于生后24h内表现症状,主要为呕吐,腹胀,部分有胎便排出。X线检查显示肠梗阻征象,钡灌肠可见胎儿型结肠。术中见系膜小肠某处断开,两端盲闭,肠系膜多有V型缺损,部分远侧盲端内壁可见息肉样物。结论:先天性空回肠盲端型闭锁可能主要由宫内肠套叠所引起,闭锁发生在胚胎不同时期,可出现不同的表现而可能带来诊断上的困难。
Objective: To explore the possible etiology, the intrauterine evolvement process, commonalities and diversity of clinical manifestations of congenital ileum blind type (type Ⅲ) intestinal atresia. Methods: Nine cases of neonatal blind-type intestinal atresia confirmed by surgery were retrospectively analyzed. The onset time, symptoms, signs, imaging findings, surgical findings and histopathological examination were collected. According to the literature, Analyze. Results: The children showed symptoms within 24 hours after birth, mainly vomiting, abdominal distension and part of meconium. X-ray examination showed signs of intestinal obstruction, barium enema visible fetal type colon. Surgery, see the Department of mesangial small intestine somewhere off, both ends of the blind, mesenteric and more V-shaped defects, part of the distal blind end of the inner wall polyps can be seen. CONCLUSIONS: The blind control of the ileoceutus of the congenital ileum may be mainly caused by the intrauterine intussusception. The occlusion occurs at different stages of the embryo and may show different manifestations that may lead to diagnostic difficulties.