| Snodgrass术在治疗儿童尿道下裂中的应用 |
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| 引用本文： | 张殷,蔡盈,曹永胜,潮敏,范登信. Snodgrass术在治疗儿童尿道下裂中的应用[J]. 安徽医学, 2010, 31(11): 1326-1328. DOI: 10.3969/j.issn.1000-0399.2010.11.016 |
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| 作者姓名： | 张殷 蔡盈 曹永胜 潮敏 范登信 |
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| 作者单位： | 安徽省立儿童医院泌尿外科,合肥,230001;安徽省立儿童医院泌尿外科,合肥,230001;安徽省立儿童医院泌尿外科,合肥,230001;安徽省立儿童医院泌尿外科,合肥,230001;安徽省立儿童医院泌尿外科,合肥,230001 |
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| 摘 要： | 目的总结尿道板纵切卷管尿道成形术（Snodgrass或TIP手术）在治疗儿童尿道下裂中的经验。方法回顾性分析采用Snodgrass手术治疗的尿道下裂82例,年龄6个月～10岁,平均5.25岁。其中近侧型组19例,远侧型和中段型组63例;初次手术组49例,再次手术组33例,对并发症发生情况进行分析。结果术后并发尿瘘12例,尿瘘发生率14.6%;尿道狭窄1例。其中尿瘘发生：近侧型组2例（10.5%）,远侧型和中段型组10例（15.9%）;初次手术组8例（16.3%）,再次手术组4例（12.1%）。尿瘘发生率,近侧型组与远侧型和中段型组、初次手术组与再次手术组之间差异无统计学意义（P〉0.05）。术后随访均在1个月以上,阴茎外观满意,尿道开口正位,排尿功能良好。结论 Snodgrass手术适用于无弯曲或伴有轻度弯曲的各型尿道下裂以及再手术者,术后具有阴茎外观好、尿道口正位垂直裂隙状、排尿功能良好、并发症低的优点,操作简便,易于推广。
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| 关 键 词： | Snodgrass术 儿童 尿道下裂 |
The application of snodgrass urethroplasty in hypospadias repair |
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| Affiliation: | ZhangYin,Cai Ying,Cao Yongsheng,et al(Department of Urologic Surgery ,Anhui Provincal Children’s Hospital,Hefei 230001,China ) |
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| Abstract: | Objective To summarize the efficacy of the tubularized incised plate (Snodgrass or TIP) urethroplasty in hypospadias repair.Methods The clinical data of 82 cases of TIP procedures from May 2004 to October 2009 were analyzed Retrospectively.The average age was 5.25 years old(0.5 to 10 years old),Among which there was a proximal group of 19 cases,a distal and middle group of 63 cases;49 cases are first time surgery. 33 cases are second time surgery.Results Fistulas occurred on 12 patients(14.6%),One case has ... |
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| Keywords: | Snodgrass urethroplasty Children Hypospadias |
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