尿道下裂成形术后并发症的临床分析

目的 探讨和总结尿道下裂成形术后发生并发症的原因、发病比例、相应的处理措施及预防方法 .方法 117 例尿道下裂患者进行尿道成形术后产生并发症19 例,年龄为36 个月～24岁,平均为4.6岁.发生并发症的尿道下裂临床分型为阴茎头型10例,阴茎体型5 例,阴茎阴囊型、阴囊型或会阴型等重度尿道下裂4 例.成形尿道长度为1.2～4.4cm,平均为2.6cm.结果 术后随访1～3年,总的并发症发生率为15.9%.其中尿道瘘者为11例(57.9%),尿道狭窄4 例(21.1%),尿道憩室1例(5.3%),尿道口退缩1例(5.3%),阴茎弯曲畸形矫正不全1 例(5.3%),阴茎皮肤外观重度不良1 例(5.3%).尿道瘘和尿道狭窄发生率显著高于其他并发症发生率( P

Clinical analysis of complications for hypospadias

Objectives To study and analyze the cauge,rate and treatment for complications of hypospadi - as repair operations.Methods In the past 3 years,there were 19 patients with complications of hypospedias repair for 117 cases single - stage urethmplasty.The ages were from 1.5 to 24 years old,the mean Was 4.6.The classifica - tions were glans of penis 10,body of penis 5,serious hypospedias 4,includingpenoscrota,scrotal andperineal.The lengths of new urethras were from 1.2 to 4.4 cm,the mean was 2.6 cm.Results The rate of complications was 15.9%for 1～3 years following survey.There were urethral fistulas 11 cases(57.9%),urethral strictures 4(21.1%),diverticulumsl(5.3%),withdrawal of meatus 1(5.3%),chordees 1(5.3%),seriouS abnomal apperance of penis 1 cases(5.3%).The rate of urethral fistulas was the first and urethral stricture the second,they were higher than other complications signiflcantly(P