尿道板卷管尿道成形术治疗小儿尿道下裂

目的探索一种新的尿道下裂的手术方法。方法212例4月龄～9岁尿道下裂男性患儿,其中阴茎头冠状沟型8例、阴茎体型181例、阴茎阴囊型23例,采用单纯尿道板卷管尿道成形术(Snodgrass术)治疗。结果随访2～34个月,188例尿道下裂患者术后阴茎完全伸直,尿道开口于龟头正位,排尿通畅,尿线粗,无尿道憩室,阴茎外观满意;22例有尿瘘,其中16例2次手术修补后成功,6例待手术;2例成形尿道全长裂开,1年后再次行Snodgrass手术治愈。结论尿道板卷管尿道成形术是一种方法简便、术后并发症少、手术效果确切、术后外形美观的新型尿道下裂矫形术,尤其适合不伴有严重阴茎下弯的尿道下裂患者。

Tabularized Incised Plate Urethroplasty for Children's Hypospadias

Objective: To evaluate a new method of urethroplasty. Methods: A total of 212 patients with hypospadias aged from 4 months to 9 years(glans type, n=8; penis type, n=181, penoscrotal type,n=23)underwent tabularized incised plate urethroplasty.Results: Followed up for 2~34 months, 188 cases obtained optimal functional and cosmetic results, 22 developed small fistulae and 16 were cured after a second operation 6 months later, 6 waited to be operated again, 2 cases of neourethra dehiscence were cured by second tabularized incised plate urethroplasty one year later. Conclusion: With its simplicity, low complication rate and reliable creation of a normal-appearing glanular meatus, tabularized incised plate urethroplasty can particularly be applied to boys with proximal hypospadias absent of severe penile curvature.