60例小儿尿道下裂的临床诊治分析

目的:探讨小儿尿道下裂的临床诊治特点。方法:选择我院2003年1月—2009年1月收治的尿道下裂患儿60例,行Snodgrass尿道成形术。结果:术后随访5个月~4年,一期手术治愈54例,占90%;1例发生尿道狭窄经尿道扩张治愈,占1.7%;5例发生尿瘘,占8.3%,其中1例术后尿道缝合处感染裂开,另1例多处尿瘘,此2例患儿术后6个月再次行Snodgrass尿道成形术;另3例行单纯尿瘘修补术,均治愈。结论:Snodgrass尿道成形术操作简便,并发症少,尿道板可反复利用,但是要根据具体情况选择合适的术式。

Clinical Diagnosis and Treatment of 60 Children with Hypospadias

Objective：To explore the characters of clinical diagnosis and treatmen on children with hypospadias. Methods： 60 chil- dren with hypospadias were selected from January 2003 to January 2009. all the cases were done with Snodgrass urethroplasty. Re- suits：all cases were followed up for 6months to 4years, 60cases were cured at one stage operation, the cure rate is 90 %,1 cases （1. 7% ）were found urethral stricture, but they were cured by urethral dilatation, 5 cases（8. 7 %） appeared urethral fistula, in the ca- ses, one was caused by infection of area of suture and they were performed by repair of urethral fistula, another case appeared ure- thral fistula at several places and they all were done Snodgrass urethroplasty again after 6 months of posterior operation, the 5cases were all cured. Conclusion： The Snodgrass urethroplasty is simple in the operation, and a few of complications appeared after opera- tion. In this operation type, urethral plate may be used for several times, but the best operation type should be selected according to the clinical state of the patients.