| 尿道下裂个体化手术治疗探讨 |
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| 引用本文： | 冯晓川,陈伟,何荣佳. 尿道下裂个体化手术治疗探讨[J]. 临床小儿外科杂志, 2016, 0(5): 447-449. DOI: 10.3969/j.issn.1671-6353.2016.05.010 |
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| 作者姓名： | 冯晓川 陈伟 何荣佳 |
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| 作者单位： | 中山大学附属中山市人民医院小儿外科 广东省中山 |
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| 摘 要： | 目的探讨对尿道下裂患者实施个体化手术治疗的疗效与意义。方法回顾性分析本院收治的98例采取个体化手术治疗的尿道下裂患儿临床资料,其中采取尿道口前移、阴茎头成型术(MAGPI术)14例,尿道板纵切卷管尿道成形术(Snodgrass术)36例,横裁包皮带蒂岛状皮瓣尿道成形术(Duckett术)24例,分期阴茎皮条埋藏法(Duplay术)20例,Duplay+Dukett手术4例。结果 98例患儿总手术成功率82.6%(81/98),MAGPI、Snodgrass、Duckett、Duplay、Duplay+Dukett手术成功率分别为92.8%(12/13)、91.6%(33/36)、79.1%(19/24)、70.0%(14/20)、50.0%(2/4)。术后总并发症发生率:尿道狭窄6.1%(6/98),尿道瘘5.1%(5/98);阴茎外观欠满意6.1%(6/98)。结论在充分理解尿道下裂术式优劣的基础上,根据患儿实际情况,如阴茎下弯程度、尿道外口位置、阴茎、包皮及阴茎头发育情况,选择个体化手术方案是尿道下裂患儿切实有效可行的临床治疗模式。
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| 关 键 词： | 尿道下裂 外科手术 个体化 治疗 |
Individualized operations for hypospadias repairing |
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| Abstract: | Objetive To evaluate the feasibility of individualized operations for hypospadias repairing. Methods A total of 98 cases undergoing individualized hypospadias repairing were analyzed.Results The o-verall success rate was 82.6%(81 /98),including MAGPI 92.8%(1 2 /1 3),Snodgrass 91 .6%(33 /36),Duck-ett 79.1 %(1 9 /24),Duplay 70.0%(1 4 /20)and Duplay plus Dukett 50.0%(2 /4).The postoperative compli-cations included fistula (n =6,6.1 %),urethral stricture (n =5,5.1 %)and dissatisfaction with penile ap-pearance (n =6,6.1 %). Conclusions The choice of surgical hypospadias repairing should be individual-ized.And the actual circumstances of chordee,location of meatus,growth of wrapping and glans penis are prima-rily considered. |
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| Keywords: | Hypospadias Surgical Procedures,Operative Individual Therapy |
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