153例尿道下裂患者一期治疗的术式选择及并发症分析  

The surgery selection and complications of the one-stage therapy of hypospadias with 153 cases

作　　者：姚海军[1] 蒋跃庆[1] 任晓敏[1] 郑大超[1] 董国勤[1] 蔡志康[1] 卢慕峻[1] 徐明曦[1] 达骏[1] 张克[1] 陈其[1] 周娟[1] 王忠[1] 

机构地区：[1]上海交通大学医学院附属第九人民医院泌尿外科,上海200011

出　　处：《现代泌尿外科杂志》2012年第1期39-41,共3页Journal of Modern Urology

基　　金：国家自然科学基金(No.81070544);上海市科委基础重点项目(No.08JC1414000);上海市科委环境条件计划研究项目(No.08140901700)

摘　　要：目的探讨尿道下裂一期手术方式的选择以及常见并发症的防治。方法总结本院2000年1月至2010年12月153例一期尿道下裂修复术的患者资料,对其常见并发症如尿瘘、尿道狭窄、阴茎外观满意度等进行分析。结果 153例尿道下裂术后并发尿瘘28例(19.6%),尿道狭窄6例(4.0%),阴茎外观欠满意5例(3.3%)。结论根据患者具体情况,选择合理的手术方式,同时注意手术操作,严格遵循治疗原则可减少并发症的发生。Objective To study the clinical efficacy of one-stage urethroplasty in the treatment of hypospadias.Methods In the past 10 years,a total of 153 cases undergone hypospadias repair were reviewed and the complications were studied.Results Complications included fistula was 28 cases（19.6%）,urethral strictures 6（4.0%） and dissatisfaction with penile appearance 5（3.3%）.Conclusions To make hypospadias repair more successful,the more reasonable methods should be chosen according to different conditions of patients.

关 键 词：尿道下裂 尿道成形 一期治疗 并发症 

分 类 号：R695[医药卫生—泌尿科学]