Snodgrass手术治疗46例尿道下裂患儿的临床体会

目的：总结Snodgrass手术治疗小儿尿道下裂的手术经验与体会。方法：于2004年12月～2009年8月间，对46例尿道下裂患儿采用Snodgrass方法进行手术治疗，患儿年龄2～16岁，平均5．6岁；其中冠状沟型6例，阴茎体型40例。结果：经1～26个月随访（平均随访21个月），所有患儿术后阴茎外形满意，有3例患儿术后出现尿瘘，经再次手术修补后治愈。无尿道憩室和尿道狭窄发生。结论：Snodgrass手术治疗小儿尿道下裂手术方法简单，手术成功率高，术后外形美观，适合于不伴有严重阴茎下弯的尿道下裂患儿。

Experience of Snodgrass Operation for Hypospadias in 46 Children

Objective:To review the experience of Snodgrass operation for hypospadias repair.Method:Records of 16 children with hypospadias who underwent Snodgrass operation were analyzed.The 16 cases include 6 coronal and 10 midshaft hypospadias with age ranging from 2 to 16 years old(average 5.6 years old).Result:All cases were followed-up from 1 to 26 months(average 21 months) after Snodgrass operation.Urethral fistula occurred in 3 cases.No patient developed neourethral stricture or diverticulum.1 he penis’s appearance in all the cases is comfortable after Snodgrass operation.Conclusion:The Snodgrass operation for hypospadias repair is a simple and good success method.Furthermore,the penis’s appearance is comfortable after the operation.The Sondgrass operalion is suit for hypospadias with no penile curvature.