Weihua Pan, Weipeng Wang, Jun Wang, Wei Xie, Yi Wang, Yinchao Jiang
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引用次数: 0
Abstract
Objective
To summarize our experiences of multidisciplinary treatment (MDT) for infants with congenital diaphragmatic hernia (CDH) and explore its effect on outcomes.
Methods
The medical records were retrospectively reviewed for 152 CDH infants from January 2001 to December 2018. The relevant clinical data included gestational age at diagnosis and delivery, Apgar score, types of hernia, birth weight, site of liver, admission arterial blood gas analysis, types of surgery, duration of mechanical ventilation and length of hospital stay. They were divided into two groups of non-MDT from January 2001 to February 2008 (n=8) and MDT from March 2008 to December 2018 (n=144). Their clinical parameters were compared and analyzed.
Results
There were 80 boys and 72 girls. And the involved side was left (n=120) and right (n=32). A total of 135 children were operated. In non-MDT group, all patients underwent open surgery. In MDT group, 17 patients died of cardiorespiratory failure without surgery. Among 127 surgical infants, open (n=66) and mini-invasive (n=78) operations were performed. Compared with counterparts in non-MDT group, those infants in MDT group were more likely to delay in surgical timing [(4.8±2.3) vs. (1.1±0.4) days], higher utilization of thoracoscopy (0 vs. 48.0%) and a higher survival rate (75.0% vs. 37.5%)(all P<0.05). However, no inter-group differences existed in gender, birth weight, site/size of defect, types of surgery or prenatal diagnosis.
Conclusions
MDT provides an feasible and effective model for diagnosing and treating CDH with better outcomes.
Key words:
Hernia, diaphragmatic; Multidisciplinary treatment; Treatment model; Prognosis
中华小儿外科杂志Medicine-Pediatrics, Perinatology and Child Health
CiteScore
0.40
自引率
0.00%
发文量
8707
期刊介绍:
Chinese Journal of Pediatric Surgery is an academic journal sponsored by the Chinese Medical Association. It mainly publishes original research papers, reviews and comments in this field. The journal was founded in 1980 and is included in well-known databases such as Peking University Journal (Chinese Journal of Humanities and Social Sciences) and CSCD Chinese Science Citation Database Source Journal (including extended version). It is one of the national key academic journals under the supervision of the China Association for Science and Technology. Chinese Journal of Pediatric Surgery enjoys a high reputation and influence in the academic community. The articles published in this journal have a high academic level and practical value, providing readers with a large number of practical cases and industry information, and have received widespread attention and citations from readers.