小型号硅胶尿管在尿道下裂成形术中的应用研究  

Application of smaller model silica gel catheter in urethroplasty of hypospadias

作　　者：高江涛[1] 王定占[1] 景治安[1] 毛长青[1] 冯占启[1] 吴辉[1] 李纪华[1] 

机构地区：[1]郑州市第一人民医院泌尿外科,450004

出　　处：《中国实用医刊》2017年第15期35-37,共3页Chinese Journal of Practical Medicine

摘　　要：目的 探讨尿道下裂一期成形术中应用小型号硅胶尿管的疗效.方法 选取2012年1月至2015年12月尿道下裂行一期阴茎伸直＋尿道成形术的患者76例,术后随机分成两组.38例患者术后留置小型号（6~10 F）硅胶尿管（A组）,38例患者采用适中型号（10~14 F）硅胶尿管作为尿道支架管（B组）.术后护理措施相同,观察两组术后疗效.结果 术后76例患者硅胶尿管的放置时间为12~21 d,随诊时间为1~6个月;A组拔除支架管后自行排尿顺畅、无并发症者31例（31/38,81.57%）,出现尿瘘或尿道狭窄并发症7例（7/38,18.43%）;B组无手术并发症者24例（24/38,63.15%）,出现尿道狭窄或尿瘘14例（14/38,36.85%）;出现并发症者二次修补后均获痊愈.A、B两组间手术成功率（81.57% 比63.15%）比较差异有统计学意义（P〈0.05）.结论 采用小型号硅胶尿管做新建尿道的支架可以减少尿道下裂成形术并发症,提高手术成功率.Objective To investigate the effect of smaller model silica gel catheter in urethroplasty of hypospadias.Methods From January 2012 to December 2015, 76 patients with hypospadias who were treated by different model silica gel catheter were divided into two groups randomly.Thirty-eight patients with small type （6-10 F） silicone catheter （group A）, 38 patients with moderate type （10-14 F） silicone catheter as a urethral stent （group B）.Postoperative nursing measures were same and observed the curative effect after operation.Results The time of 76 patients with silicone catheter after surgery was 12-21 d, the follow-up time ranged from 1 to 6 months;Group A urinated smoothly after stent removal without complications in 31 cases （31/38, 81.57%）, complications of urinary fistula or urethral stricture in 7 cases （7/38, 18.43%）;In group B, no operative complications occurred in 24 cases （24/38, 63.15%）, urethral stricture or fistula occurred in 14 cases（14/38, 36.85%）;The patients were cured after repair.There was significant difference between the two groups in the success rate of surgery （81.57% vs 63.15%）, P〈0.05.Conclusions The use of a small model of silicone catheter to create a new urethral stent can reduce the complications of hypospadias repair, improve the success rate of surgery.

关 键 词：小型号硅胶尿管 尿道下裂 尿道成形术 尿瘘 尿道狭窄 

分 类 号：R726.9[医药卫生—儿科]