应用Snodgrass手术治疗小儿尿道下裂18例报告  

Treatment ofhypospadias with snodgrass procedure(tubularized incised plate urethroplasty)

作　　者：过栋[1] 于忠勤[1] 徐建国[1] 秦君华[1] 王桐德[1] 

机构地区：[1]南京医科大学附属无锡第一医院外科,江苏无锡214002

出　　处：《南京医科大学学报（自然科学版）》2005年第9期655-656,共2页Journal of Nanjing Medical University(Natural Sciences)

摘　　要：目的:总结应用Snodgrass手术方式(尿道板纵切卷管尿道成形术)治疗小儿尿道下裂的经验。方法:在26个月中对18例尿道下裂患儿施行Snodgrass手术。患儿年龄19个月至14岁,其中阴茎体型15例,阴茎阴囊型3例;3例为尿道成形手术失败患儿,5例患儿阴茎下弯先行阴茎背侧折叠术。结果:术后随访4～28个月,手术治愈15例(83.3%),术后并发尿瘘3例(16.7%),均已修补成功。结论:Snodgrass手术可应用于多种类型的尿道下裂。手术操作简便易行,手术成功率高,易掌握推广。Objective：To report the experiences using Snodgrass procedure （Tubularized incised plate urethroplasty） for hypospadias repair. Methods： From June 2002 to August 2004 Snodgrass procedure was performed in 18 boys 19 months to 14 years old with 15 mid shaft and 3 penoscrotal hypospadias. Three cases had had a history of failed urethroplasty. Dorsal plication was carried out for 5 chordees. Results： The patients had been followed up for 4-28 months and a satisfactory functional neourethra was observed in 15 cases （success rate 83.3%）. Urethro-cutaneous fistula occurred in 3 patients with an overall fistula rate of 16.7% had been corrected. Conclusion：Snodgrass procedure can be used in most of hypospadias repair. Snodgrass procedure is a simplified method and its success rate is high, so gained widespread acceptance.

关 键 词：尿道下裂 手术 尿道成形术 

分 类 号：R695[医药卫生—泌尿科学]