The Influence of Surgery Opportunity Choice on the Prognosis of the Post-Necrotizing Enterocolitis Intestinal Obstruction

摘要

Objective: To investigate the treatment effect of the different surgery opportunity choice on the post-necrotizing enterocolitis intestinal obstruction. Methods: A retrospective analysis of our Hospital in recent 8 years, neonatal and pediatric surgery in the diagnosis and treatment of the post-necrotizing enterocolitis intestinal obstruction cases. All the cases were divided into two groups: early operation group and non-early operation group. The cases of non-early operation group were treated conservatively, and would get surgical treatment when the intestinal obstruction occurs repeatedly or the intestinal obstruction recovers difficultly. The survival children were followed up to 6 months. Clinical data were retrospectively analyzed, including the hospital stays, the reoccurrence of intestinal obstruction, weight gain 2 month after discharge. Results: The hospital stays of the experimental group was obviously shorter than that of control group (P<0.05), the reoccurrence rate of intestinal obstruction of the experimental group was obviously lower than that of control group (9.1%vs53.8%) (P<0.05). And the weight gain 2 month after discharge of the experimental group was obviously more than that of control group (P<0.05). Conclusion: Early operation intervention can shorten hospital stay of post-NEC intestinal obstruction, reduce the later complications, and promote the recovery.