KẾT QUẢ ĐIỀU TRỊ KHE HỞ THÀNH BỤNG BẨM SINH TẠI BỆNH VIỆN NHI TRUNG ƯƠNG

Abstract

Objective: To evaluate the treatment outcomes of neonates with gastroschisis at the Vietnam National Children’s Hospital during 2018–2023, and to analyze clinical characteristics, surgical interventions, and prognostic factors. Methods: A retrospective descriptive study was conducted on 62 neonates (0–28 days old) diagnosed with and surgically treated for gastroschisis at the Vietnam National Children’s Hospital between January 2018 and December 2023. Data were collected from medical records and analyzed using SPSS 20.0, employing descriptive and comparative statistics, with p < 0.05 considered statistically significant. Results: The mean gestational age was 36.18 ± 2.53 weeks, and the mean birth weight was 2,305 ± 588.3g; 69.4% were diagnosed prenatally. The main treatment method was staged closure with silo placement (87.1%). The mean time from birth to silo placement was 7.05 ± 5.45 hours, and the mean silo duration was 8.85 ± 4.94 days. The survival rate was 71%, while mortality was 29%, primarily due to septic shock (38.9%) and respiratory failure (33.3%). Common complications included sepsis (21%), silo dislodgement (4.8%), and pneumothorax (6.5%). Conclusion: Treatment outcomes for gastroschisis have improved with early intervention, adoption of staged abdominal closure, and optimized neonatal resuscitation. Prenatal diagnosis, timely transport, effective complication management, and early postoperative enteral feeding play key roles in improving survival rates.