Duckett术式治疗先天性小儿尿道下裂临床分析

目的：总结Duckett术式治疗小儿尿道下裂的经验和体会。方法：对300例尿道下裂患儿施行的Duckett手术进行回顾性分析。结果：随访6～24个月,其中,237例（79.1%）外观满意,排尿通畅,56例（18.6%）出现尿瘘,修补后均成功,7例（2.3%）出现尿道口狭窄,经尿道口扩张术后已治愈。结论：Duckett术式治疗尿道下裂手术成功率高,并发症少,外形接近正常,适用于大部分阴茎体型及阴茎阴囊型尿道下裂的病例。

Treatment of children hypospadias with Duckett procedure

Objective：To present the experiences using Duckett procedure for hypospadias repair.Methods： Records of 300 cases who underwent Duekett operation were reviewed.Results：The patients had been followed up for 3-24 months, and the appearance and function of the new urinary meatus in 265 cases were satisfactory. 28 cases have urethral fistula and were corrected with urinary fistula repair.7 cases who occured meatal stenosis had been successfully managed by urethral dilatation. Conclusion：The Duckett procedure has some advantages such as high success rate,few complication and satisfactory external feature,which is one of the best choices for treating penile or peno-scrotal type hypospadias.