摘要
目的 探讨提高尿道下裂Ⅰ期手术疗效。方法 对本组 87例尿道下裂患儿 ,年龄 9个月～ 14岁 ,平均 4岁 ,阴茎型 36例 ,阴茎阴囊型 39例 ,阴囊会阴型 12例 ,应用显微外科技术选用尿道板皮瓣及部分带蒂皮瓣Ⅰ期修复。结果 阴茎型尿道下裂者 36例 ,治愈 33例 (91.7% ) ,阴茎阴囊型39例 ,治愈 34例 (87.2 % ) ,阴囊会阴型 12例 ,治愈 8例 (6 6 .7% )。不同年龄组手术结果 :<16个月者 13例 ,均治愈 (10 0 % ) ;～ <3岁 14例 ,治愈 12例 (85 .7% )。结论 应用显微外科技术 ,选择适宜的手术方法 ,提早接受手术治疗的年龄 ,能明显提高尿道下裂Ⅰ期成形术的成功率。
Objective To evaluate the efficacy of one stage urethroplasty with microsurgical technique and a pedicle skin tube in the treatment for hypospadias.Methods One stage urethroplasty using microsurgical technique and pedicle skin tube was carried out in 87 cases of hypospadias. The age ranged from 9months to 14yrs(mean 4yrs). There were penile type in 36 cases, penoscrotal type in 39 and perineal type in 12.Results The successful rate was 91.7% (34/39) in penile type, 87.2% (34/39) in penoscrotal type and 66.7% (8/12) in perineal type respectively. The successful rate was 100% for patients under 16 months of age, 85.7% for cases under 3 years of age, 83.3% for those old than 3 years.Conclusions One stage urethroplasty using microsurgical technique and a pedicle skin tube is an effective method for hypospadias. It should be operated on an earlier age so as to achieve better results in children.
出处
《中华小儿外科杂志》
CSCD
北大核心
2003年第3期243-245,共3页
Chinese Journal of Pediatric Surgery
基金
金华市科技局资助项目 (项目编号 :2 0 0 1 1 171)
