摘要
目的探究在对小儿尿道下裂术后出现小尿瘘患儿的治疗中,结扎法和切开缝合法的不同修复效果。方法方便选取2015年1月—2017年6月在该院进行治疗的小儿尿道下裂术后出现小尿瘘患儿40例,分为研究组和对照组,各20例,其中研究组患儿通过结扎法治疗,对照组患儿通过切开缝合法治疗。结果研究组术后出现再瘘情况患儿3例,其中再瘘瘘口1处2例,2处1例,对照组出现再瘘情况患儿5例,其中再瘘瘘口1处4例,2处1例,两组患儿术后修复成功率分别为100.00%和90.00%,差异无统计学意义(χ~2=0.10;P=0.749 3)。结论在小儿尿道下裂术后出现小尿瘘患儿的治疗中,结扎法和切开缝合法对患儿的修复效果并无明显差异,如果患儿的瘘管形态较为清晰明显,则推荐使用操作简单的结扎法;如果患儿瘘管形态不清晰,则推荐使用切开缝合法进行修复。
Objective To investigate the different repairing effects of ligation and incision suture in the treatment of children with small urinary fistula after hypospadias.Methods A total of 40 children with small urinary fistula after pediatric hypospadias were convenient treated in the hospital from January 2015 to June 2017.The study group and control group had 20 cases each.The study group was treated with ligation treatment,the control group of children treated by incision suture.Results There were 3 cases of recurrence in the study group,including 2 cases of 1 recurrence,1 case of 2 recurrences,and 5 cases in the control group,including 4 cases in one part and 1 case in 4 parts,the success rate of postoperative repair was 100.00%and 90.00%,respectively,and there was no significant difference(χ^2=0.10;P=0.749 3).Conclusion In the treatment of children with small urinary fistula after hypospadias in children,the effect of ligation and incision suture on the repair of children is not significant.If the shape of the fistula is clear and obvious,it is recommended to use simple operation ligation method;if the shape of the fistula is not clear,it is recommended to use the incision suture for repair.
作者
陈金文
李笃妙
CHEN Jin-wen;LI Du-miao(Department of Pediatric Surgery,the First Affiliated Hospital of Fujian Medical University,Fuzhou,Fujian Province,350000 China)
出处
《中外医疗》
2019年第5期28-30,共3页
China & Foreign Medical Treatment
