摘要
目的探讨手术治疗尿道下裂长期效果与短期效果之间的关系及影响长期治疗效果的因素。方法设计调查表，将调查表分别寄给1982-1988年收治的142例尿道下裂患儿。通过回复资料进行相关统计学分析。结果102例寄回调查表或来门诊接受调查。70．0％的近端型、80．5％实施Denis-Browne手术和68．4％有早期并发症的患儿对手术的总体效果及阴茎外观明显不满意。手术次数越多越不满意。实施Denis-Browne手术的41例中，39例有排尿问题。102例中，49例表示在找女朋友时有心理压力，而且与手术次数呈正相关；同时也与手术完成时的年龄呈正相关。近端型患者有较多的勃起及射精问题。结论尿道下裂短期治疗效果明显影响长期治疗效果，尿道下裂的类型、手术方法、有无早期并发症及完成手术的年龄是影响尿道下裂长期治疗效果的重要因素。
Objective To explore the relationship between the short-term results and the longterm results of hypospadias repairs, and identify the factors which might affect the long-term results of hyposapdias repairs. Methods Between 1982 and 1988, 142 patients with hypospadias underwent surgical repairs in this institute. Their records were analyzed retrospectively, and a detailed questionnaire was mailed to each of them. Results One hundred and two patients returned the questionnaire. Patients with proximal hypospadias who underwent Denis-Browne technique and patients with early complications were markedly dissatisfied with the overall results. And their dissatisfaction increased with more operations they were undertaken. In 41 patients underwent Denis-Browne technique, 39 （95. 1%） suffered from the voiding problem. Forty-nine patients （48%） felt inhibited in seeking girlfriends or sexual contacts. And there was a positive correlation between the levels of sexual inhibition and operation times. Moreover, the sexual inhibition in these patients was closely related to the age of operation. The patients with proximal hypospadias had more erection and ejaculation problems than the others had. Conclusions The short-term results of hypospadias repair can significantly affect the longterm results. The types of hypospadias, procedures, and complications significantly contribute to the long-term results of hypospadias repairs.
出处
《中华小儿外科杂志》
CSCD
北大核心
2006年第3期137-139,共3页
Chinese Journal of Pediatric Surgery
关键词
尿道下裂
手术后并发症
随访研究
Hypospadias
Postoperative complications
Follow-up studies
