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ミウラ マズミ
Mazumi Miura
三浦 真澄 所属 川崎医科大学 医学部 臨床医学 小児科学 職種 教授 |
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| 論文種別 | 原著 |
| 言語種別 | 英語 |
| 査読の有無 | 査読あり |
| 表題 | Retrospective Analysis of Neonatal Surgery at Tottori University over the Past Ten Years. |
| 掲載誌名 | 正式名：Yonago acta medica 略 称：Yonago Acta Med ISSNコード：05135710/05135710 |
| 掲載区分 | 国外 |
| 巻・号・頁 | 66(4),pp.413-421 |
| 著者・共著者 | Toshimichi Hasegawa, Shuichi Takano, Kohga Masuda, Yoshiyuki Fujiwara, Ayako Miyahara, Mazumi Miura |
| 担当区分 | 最終著者 |
| 発行年月 | 2023/11 |
| 概要 | BACKGROUND:In recent years, the number of neonatal surgeries has been on the rise despite the decline in the number of births, and we examined the actual trends and problems at Tottori University Hospital located in the Sanin region.METHODS:Medical records were retrospectively searched for patients who underwent major surgery during the neonatal period (within 30 days of age) at the Tottori University Hospital over the past 10 years (Jan. 2011 to Dec. 2020).RESULTS:Sixty-five cases were included. Early birth infants (< 37 gestational weeks) comprised 15 cases (23%) and low birth weight (< 2500 g) infants involved 27 cases (42%). In the latter half (2016-2020), early birth and low birth weight infants were significantly less than in the first half (2011-2015). The common diseases were anorectal malformation (14 cases), esophageal atresia (10), duodenal atresia (10), and diaphragmatic hernia (9). Prenatal diagnosis was obtained in 26 cases (40%), with high diagnostic rate obtained in duodenal atresia (100%), abdominal wall defect (100%), ileal atresia (75%), meconium peritonitis (67%), and diaphragmatic hernia (67%). Fifty-five cases (85%) were operated on within 7 days of age. Other major malformations were associated in 23 cases (35%). There were 6 deaths (9%), of which 3 cases were low birth weight infants with gastrointestinal perforation, 2 cases with severe chromosomal abnormalities (esophageal atresia, omphalocele), and 1 case with diaphragmatic hernia with severe pulmonary hypertension. Home medical care has been required with gastrostomy tube in 2 cases.CONCLUSION:Neonatal surgery at Tottori University has been well performed as required with acceptable results along with the progression of other perinatal care. However, further investigation for improvements in premature delivery or organ hypoplasia may be required. |
| DOI | 10.33160/yam.2023.11.003 |
| PMID | 38028267 |