摘要
目的:比较三种阴囊来源软组织覆盖技术在Snodgrass尿道成形术中的疗效。方法:对102例Snodgrass尿道成形术患儿均采用阴囊来源软组织对新成形尿道进行覆盖。40例采用睾丸鞘膜,32例采用阴囊肉膜,30例睾丸鞘膜联合阴囊肉膜。比较三种尿道覆盖技术在手术时间、出血量,尿道瘘、尿道狭窄以及阴囊并发症等方面的差异。结果:术后随诊3个月至5年,三种覆盖技术手术时间、出血量、尿道狭窄以及阴囊并发症方面差异无统计学意义(P>0.05)。尿道瘘在三种覆盖技术中的差异有统计学意义(P<0.05)。阴囊肉膜组与睾丸鞘膜、睾丸鞘膜联合阴囊肉膜两组相比较差异有统计学意义(P<0.05)。睾丸鞘膜与睾丸鞘膜联合阴囊肉膜两组间差异无统计学意义(P>0.05)。结论:在Snodgrass尿道成形术中使用睾丸鞘膜可以有效减少尿道瘘的发生。
Objective：To compare the clinical effects of thre kinds of scrotal soft tissues as a additional layer in Snodgrass Urethroplasty.Methods：A total of 102 patients with penile hypospadias who were treated using a snodgrass urethroplasty.40 cases used vascularized tunica vaginalis flap as layer,32 cases used dartos fascia tissues,and 30 cases used tunica vaginalis flap plus dartos fascia.Operation time,blood loss volume,postoperative complication rate were documented and analyzed in the three groups.Results：The follow-up period ranging from 3 months to 5 years.There was no difference during three groups in operation time（P〉0.05）,urethral stricture（P〉0.05）,scrotal complication（P〉0.05）and blood loss volume（P〉0.05）.There were statistical differences in the incidence of the urethral fistula（P〈0.05）.Conclusion：Vascularized tunica vaginalis flap has the advantage of low surgical complication rates in Snodgrass Urethroplasty.
作者
白明
张敬悌
Bai Ming;Zhang Jingti.(Department of Urology,Xi＇an Children＇s Hospital（Xi＇an 710003)
出处
《陕西医学杂志》
CAS
2018年第6期733-735,共3页
Shaanxi Medical Journal
基金
西安市卫生和计划生育委员会科研项目(2012020
JS2010B19)
