TIP术与Mathieu术在远段型尿道下裂首次修复中的疗效比较  

Comparative Study of Tubularized Incised Plate Urethroplasty and Mathieu's Procedure for Primary Hypospadias Repair

作　　者：陈锋[1] 魏孝钰[1] 陈小华[1] 汪洋[1] 赖彩民[1] 

机构地区：[1]福建医科大学附属协和医院小儿外科,福州350001

出　　处：《福建医科大学学报》2014年第5期327-329,共3页Journal of Fujian Medical University

摘　　要：目的评价和比较尿道板纵切卷管尿道成形术(TIP术)与尿道口基底血管皮瓣法(Mathieu术)首次修复远段型尿道下裂的疗效。方法回顾性分析107例远段型尿道下裂患者行首次尿道修复的资料。比较TIP术(55例)和Mathieu术(52例)进行治疗的手术成功率、手术相关指标、术后并发症及术后阴茎外观满意度。结果TIP术及Mathieu术修复尿道的成功率分别为89.1%(49/55)、76.9%(40/52),2组差别无统计学意义(P>0.05);2组尿道狭窄、尿瘘、阴茎扭转的发生率差别亦无统计学意义(P>0.05),但TIP术组的手术时间、术中出血量、住院时间均少于Mathieu术组,2组比较差别均有统计学意义(P<0.05);患儿家属对于术后阴茎外观的满意度TIP术组高于Mathieu术组,2组差别具有统计学意义(P<0.001)。结论在严格把握适应症的前提下,推荐TIP术作为远段型尿道下裂首次修复的首选术式。Objective To present the experience in using Tubularized incised plate urethroplasty （TIP） and Mathieu’s repair for primary hypospadias repair . Methods The study included 107 patients of distal penile hypospadias ,from March 2008 to May 2014 . TIP repair was performed in 55 patients and Mathieu’s repair in 52 patients . Results The primary success rate was 89 .1% in TIP group and 76 .9%in Mathieu Technique group , with no statistically significant difference between the two groups （P〉0 .05） . No significant difference was found in the incidence of urinary fistula ,urethral stricture and penis twisting . The mean durations of surgery ,the blood loss and hospitalization in the TIP group were all shorter or less than that in the Mathieu Technique group （P〈0 .05） . The satisfaction degree of post‐operative penile appearance in the TIP group was higher than that of Mathieu Technique group （P〈0 .001） . Conclusion The TIP repair is significantly faster ,with more natural cosmetic appearance of the meatus than the Mathieu’s repair .

关 键 词：尿道下裂 手术后并发症 尿瘘 阴茎 

分 类 号：R726.9[医药卫生—儿科] R322.64[医药卫生—临床医学]