摘要
目的：评价改良Duckett联合Duplay和睾丸鞘膜覆盖术（Duckett＋Duplay＋睾丸鞘膜覆盖术）治疗重度尿道下裂疗效。方法回顾性分析2007年9月至2013年1月间47例行改良Duckett＋Duplay＋睾丸鞘膜覆盖术的重度尿道下裂患者的临床资料。患者年龄2-18岁，平均5.7岁，其中阴囊型41例，会阴型6例。结果一次性手术治愈42例（89.4%），有3例（6.4%）患者发生尿道外口狭窄，经尿道扩张治愈；2例（4.3%）患者发生尿瘘，半年后再次手术治愈。结论改良Duckett＋Duplay＋睾丸鞘膜覆盖术治疗重度尿道下裂疗效满意，可做临床推广。
Objective To evaluate the therapeutic effects of modified Duckett-Duplay＇s style and transfer and cover tunica vaginalis of testis in severe hypospadia repair. Methods Clinical data of 47 patients with severe hypospadia, whose age was from 2 to 18 years old, including 41 cases of scrotum type and 6 cases of perineum type between Dep 2008 and Jan 2012 were analyzed retrospectively. Results Total of 42 patients （89.4%） were cured in the first operation. Three patients （6.4%） with mild external orifice stricture were recovered by simple dilatafton. Two patients （4.3%） who developed urethraI fistula were managed by a second improved operation half a year after the first surgery. Conclusion The satisfactory therapeutic effect could be obtained by chosing patients properly, holding the operating skill,paying attention to protect the blood supply of skin flap, and enhancing the treatment after operation.
出处
《中国男科学杂志》
CAS
CSCD
北大核心
2014年第4期39-42,共4页
Chinese Journal of Andrology
