60例小儿尿道下裂的临床诊治分析  

Clinical Diagnosis and Treatment of 60 Children with Hypospadias

作　　者：唐仕忠[1] 范霞[1] 易亮[1] 

机构地区：[1]贵州省人民医院,贵州贵阳550001

出　　处：《亚太传统医药》2009年第8期86-87,共2页Asia-Pacific Traditional Medicine

摘　　要：目的：探讨小儿尿道下裂的临床诊治特点。方法：选择我院2003年1月一20¨。9年1月收治的尿道下裂患儿60例，行Snodgrass尿道成形术。结果：术后随访5个月～4年，一期手术治愈54例，占90V00；1例发生尿道狭窄经尿道扩张治愈，占1．7％；5例发生尿瘘，占8．3％，其中1例术后尿道缝合处感染裂开，另1例多处尿瘘，此2例患儿术后6个月再次行Snodgrass尿道成形术；另3例行单纯尿瘘修补术，均治愈。结论：Snodgrass尿道成形术操作简便，并发症少，尿道板可反复利用，但是要根据具体情况选择合适的术式。Objective：To explore the characters of clinical diagnosis and treatmen on children with hypospadias. Methods： 60 chil- dren with hypospadias were selected from January 2003 to January 2009. all the cases were done with Snodgrass urethroplasty. Re- suits：all cases were followed up for 6months to 4years, 60cases were cured at one stage operation, the cure rate is 90 %,1 cases （1. 7% ）were found urethral stricture, but they were cured by urethral dilatation, 5 cases（8. 7 %） appeared urethral fistula, in the ca- ses, one was caused by infection of area of suture and they were performed by repair of urethral fistula, another case appeared ure- thral fistula at several places and they all were done Snodgrass urethroplasty again after 6 months of posterior operation, the 5cases were all cured. Conclusion： The Snodgrass urethroplasty is simple in the operation, and a few of complications appeared after opera- tion. In this operation type, urethral plate may be used for several times, but the best operation type should be selected according to the clinical state of the patients.

关 键 词：尿道下裂 小儿 SNODGRASS尿道成形术 

分 类 号：R322.63[医药卫生—人体解剖和组织胚胎学]