改良尿道板纵切卷管技术在尿道下裂治疗中的临床应用

目的:探讨尿道板纵切卷管技术(TIP)在尿道下裂治疗中的临床应用和体会。方法:收集行TIP手术的尿道下裂患儿169例,年龄1.5~12岁,平均3.68岁,术后平均随访2年(6个月至3年)。TIP技术在Snodgrass手术的基础上进行改进,即纵切开尿道板,术后留置尿道支架,平均住院时间10 d。结果:169例患儿中18例(10.6%)术后有并发症,最常见并发症为尿道狭窄(9例,5.3%),其次为尿道皮肤瘘(8例,4.7%)。结论:TIP技术是一种可以适用于大多数尿道下裂的手术方法,临床经验和技术的总结,有助于提高使用这种方法的成功率,减少并发症的发生。

Modified tubularized incised plate technique for hypospadias:A report of 169 cases

Objective:To explore the clinical application of the tubularized incised plate(TIP) in the surgical treatment of hypospadias.Methods:This study included 169 cases of hypospadias treated by TIP surgery from January 2007 to April 2009.The patients ranged in age from 1.5 to 12 years(mean 3.68 yr).The TIP technique was modified based on that described by Snodgrass,with the urethral plate longitudinally incised and a urethral stent kept in place.The patients were hospitalized for 10 days postoperatively,and followed up for an average of 2 years,ranging from 6 months to 3 years.Results:Complications developed in 18(10.6%) of the patients,most frequently meatal stenosis(9 cases,5.3%) and urethrocutaneous fistula(8 cases,4.7%).Conclusion:The TIP technique,as a surgical method,can be applied to most hypospadias cases.The accumulation of clinical experience and skills may help raise the success rate and reduce the complications of TIP surgery.