Snodgrass术式与Duckett术式治疗尿道下裂并发症的疗效观察  

Effect of complications of Snodgrass surgery and Duckett surgery for hypospadias

作　　者：姜斌[1] 王华[1] 袁留亚 戴谦[1] 马建华[1] 万江厚[1] 

机构地区：[1]兰州大学第一医院泌尿外科,甘肃兰州730000

出　　处：《国际泌尿系统杂志》2017年第5期739-742,共4页International Journal of Urology and Nephrology

摘　　要：目的 探讨Snodgrass术与Duckett术式对尿道下裂的并发症的影响.方法 选取本院2005年1月至2016年1月的241例尿道下裂患者进行研究,根据治疗方法不同分为Snodgrass术组（123例）与Duckett术组（118例）,分别进行Snodgrass术与Duckett术治疗,观察两组患者的手术时间、手术中出血量、住院时间以及临床效果及并发症发生情况.结果 Snodgrass术组的总有效率（99.1％,122/123）明显高于Duckett术组（80.0％,100/118）,差异具有统计学意义（P＜0.01）;Snodgrass术组的手术时间、手术中出血量、住院时间明显少于Duckett术组,差异具有统计学意义（P＜ 0.05）;Snodgrass术组的并发症发生率（13.8％,17/123）明显少于Duckett术组（31.3％,37/118）,差异具有统计学意义（P＜0.01）.结论 与Duckett术比较,采用Snodgrass术治疗尿道下裂患者可以有效地改善患者的临床症状,减少并发症发生,快速有效.Objective To investigate urethral plate tubularized incised angioplasty （Snodgrass）and pedicle island skin flap angioplasty （Duckett） operation on hypospadias complications.Methods In our hospital,241 patients with hypospadias were selected from January 2005 to January 2016 were selected.According to the different treatment methods these patients were divided into Snodgrass group （n =123） and Duckett group（n--118）.Operation time,intraoperative blood loss,hospital stay,the clinical effect and complications of the two groups were observed.Results The total efficiency （99.1％） of Snodgrass group was significantly higher than that of Duckett group （80.0％,P ＜ 0.05）.The operative time,blood loss,length of stay hospital of Snodgrass group was significantly less than Duckett group（P ＜0.01）;The incidence of complications （13.8％） of Snodgrass group was significantly lower than that of Duckett group （31.3％,P ＜ 0.01）.Conclusions Compared with the Duckett operation,Snodgrass urethroplasty for patients with hypospadias can effectively improve the patient＇s symptoms,reduce the occurrence of complications quickly and effectively.

关 键 词：尿道下裂 手术后并发症 

分 类 号：R699[医药卫生—泌尿科学]