中国实用儿科杂志

中国实用儿科杂志 ›› 2024, Vol. 39 ›› Issue (5): 355-358.DOI: 10.19538/j.ek2024050609

• 专题笔谈 • 上一篇    下一篇

新生儿坏死性小肠结肠炎的外科治疗策略及预后

  

  1. 广州医科大学附属广州市妇女儿童医疗中心新生儿外科，广东  广州  510623
  • 出版日期:2024-05-06 发布日期:2024-05-09
  • 通讯作者: 钟微，电子信箱：zhongwei@gwcmc.org
  • 基金资助:
    广州市科技计划项目-市校（院）企联合资助基础与应用基础研究项目（2024A03J1171）

A review of surgical treatment strategies and prognosis of neonatal necrotizing enterocolitis

  1. Department of Neonatal Surgery，Guangzhou Women and Children's Medical Center，Guangzhou Medical University，Guangzhou  510623，China
  • Online:2024-05-06 Published:2024-05-09

摘要： 坏死性小肠结肠炎（necrotizing enterocolitis，NEC）是新生儿期特有的一种获得性的炎症性肠道疾病，是导致新生儿死亡的主要原因之一，近半数的NEC患儿需要手术治疗。目前对于NEC急性期的外科治疗策略选择多样，尚无统一的推荐标准。外科医生往往根据病人的具体情况以及个人的倾向性进行选择。该文将对目前治疗NEC的常用外科治疗策略进行总结。

关键词: 坏死性小肠结肠炎, 手术治疗, 手术方式, 预后

Abstract: Necrotizing enterocolitis （NEC），an acquired inflammatory bowel disease， almost exclusively affects the newborns，which is one of the leading causes of neonatal death，with nearly half of NEC patients requiring surgical treatment. At present，there are various surgical options for the acute stage of NEC，but there is no consistents recommendation standard. Surgeons often make choices based on the patient's specific circumstances and individual preferences. In this paper，we will review the common surgical strategies for NEC currently used.

Key words: necrotizing enterocolitis, surgical treatment, surgical procedure, prognosis