摘要
目的：探讨改良尿道板重建卷管尿道成形术（改良Koyanagi术）在重度尿道下裂矫治中的疗效。方法行改良Koyanagi术治疗的重型尿道下裂患儿35例为观察组，同期行Duckett＋Duplay术治疗的重型尿道下裂患儿34例为对照组，比较2组的疗效。结果观察组手术时间明显短于对照组，差异有统计学意义（ P＜0.05）。2组1期治愈率、并发症发生率差异均无统计学意义（P＞0.05）。术后发生尿瘘患者6个月后均再次行瘘修补术成功治愈；发生不同程度的尿道狭窄患者均经1-3个月尿道扩张后可正常排尿。2组患者均随访6-24个月，平均15个月，均伸直满意，排尿通畅，连续6个月以上不需尿道扩张。结论改良的Koyanagi术治疗重型尿道下裂，手术方法容易掌握。
Objective To investigate the clinical effect of modified Koyanagi technique for the repair of severe hypospadias. Methods We retrospectively analyzed 35 patients with severe hypospadias treated by modified Koyanagi technique. And for comparison,34 cases of severe hypospadias treated with one-stage Duckett＋Duplay technique in the same term were collected. Results The operation time of modified Koyanagi technique was much shorter than one-stage Duckett＋Duplay technique,the result had statistically significance （ P 〈 0 . 05 ）. The successful rate and complication in two groups had no statistically significance（ P〉0 . 05 ）. The patients with urethral fistula were treated successfully with the repair of urethral fistula 6 months after the first surgery. And the cases of stenosis were cured by urethral dilatation within 1 to 3 months. All patients of the two group were followed up 6 to 24 months（ mean 15 months）. The correction of chordee and the micturition were very well,and did not need urethral dilation in 6 months at least. Conclusion Modified Koyanagi technique for the repair of severe hypospadias is relatively simple,has similar effect of surgery compared with Duckett＋Duplay technique.
出处
《河北医科大学学报》
CAS
2014年第6期642-644,共3页
Journal of Hebei Medical University
关键词
尿道下裂
泌尿生殖外科手术
治疗结果
hypospadias
urogenital surgical procedures
treatment outcome
