行產(chǎn)時(shí)手術(shù)的出生缺陷兒的預(yù)后隨訪分析.pdf

1、中國(guó)醫(yī)科大學(xué)碩士學(xué)位論文行產(chǎn)時(shí)手術(shù)的出生缺陷兒的預(yù)后隨訪分析姓名：李歡申請(qǐng)學(xué)位級(jí)別：碩士專業(yè)：婦產(chǎn)科學(xué)指導(dǎo)教師：劉彩霞201009英文論著摘要Follow—upanalysisoftheprognosisofinfantsundergoneintrapartumsugeryforbirthdefectsObjectiveTofollowuptheprognosisofintrapartumsugeryforbirth—defectand

2、toevaluateitsfeasibilityandsuperiorityofintrapartumsugcryMethods16cases(including3casesoflymphangioma2casesofcongenitaldiaphragmatichernia2casesofsacrocoecygealteratoma7casesofomphalocele，2caSesofgastroschisis)werechoose

3、dfromAugust2008toJuly2010inourhospitalforintrapartumsurgery，inwhich4casesforintrapartumfetalsurgery，12casesforexuterointrapartumtreatment(EXIT)&inhousesurgeryFor1monthto2yearsHerbirth，assessmentsofphysicaldevelopment(wei

4、ght，height)，mentaldevelopment，cognitivedevelopmentandsocialadaptation(DDST)wereconducmdonchildrenResults14ofthe16patientswerealive2diedThesurvivalratewas8750％The14survivalswereregularlyfollowedupforlmonthto2years12ofthem

5、(8571％)havenormalgrowthanddevelopmentSOfarTheprognosisofonecaseofdiaphragmaticherniaisnotsatisfactorybecauseofthepostoperativecomplications，whichmayberelatedtothenatureofthediseaseitselfAnothercaseofgiantomphalocelewithp

6、oorgrowthanddevelopmentmayberelatedtotheprematurebirthandcongenitalsyphilisConclusionTheintraparmmsugeryisfeasiblewithitsuniqueadvantages，andCanimprovetheprognosisofinfantsKeywordsintrapartumsugery；birthdefect；followup；p