摘要
目的探讨Duckeet改良术式治疗重型尿道下裂的效果及适应证。方法回顾性分析采用Duckeet术式修复尿道下裂25例,采用Duckeet改良术式修复尿道下裂31例的临床资料,对比两者疗效差别。结果Duckeet手术组和Duckeet改良手术组的尿瘘率分别为24.0%和12.9%;Duckeet手术组的尿道口狭窄率为16.0%,Duckeet改良手术组为3.2%;Duckeet手术组和Duckeet改良手术组的并发症总发生率分别为40.0%和16.1%,两组间差异有统计学意义(P<0.05)。结论Duckeet改良术式是一期修复重度尿道下裂的较好术式,尤其适用于伴有严重阴茎下曲的阴茎阴囊型以及阴囊型尿道下裂。
Objective To study the effect of modified Duckeet urethroplasty in the treatment of severe proximal hypospadias. Methods The study included 56 children who had severe proximal hypospadias. 25 of them were repaired using Duckeet urethroplasty in 2003 and 2004, and 31 using modified Duckeet urethroplasty in 2005 and 2006. Their medical records were retrospectively analyzed. Results Postoperative follow-up lasted for more than 6 months. The frequence of urinary fistula, the frequence of meatal stenosis, and the frequence of overall complication were 24.0% vs. 12.9%, 16.0% vs. 3.2%, and 40.0% vs. 16.1% in Duckeet urethroplasty group and modified Duckeet urethroplasty group respectively; and significant difference between the two groups was observed （P 〈 0. 05）. Conclusion Modified Duckeet urethroplasty provides an excellent procedure for severe proximal hypospadias, especially suitable for correcting penoscrotal and scrotal hypospadias with severe penis chordee.
出处
《现代泌尿外科杂志》
CAS
2008年第3期203-205,共3页
Journal of Modern Urology
关键词
尿道下裂
阴茎疾病
手术方法
hypospadias
penile diseases
surgical procedure
