保留尿道板改良Duckett手术一期治疗重度尿道下裂  

Modified Duckett operation for the treatment of severe hypospadias

作　　者：景登攀 景秀梅 张亚辉 续晋中 马建琦 JING Dengpan;JING Xiumei;ZHANG Yahui;XU Jinzhong;MA Jianqi(Department of Urology,Kaifeng Children's Hospital,Kaifeng,Henan,475000,China;Department of Surgery,Lankao Hospital of Traditional Chinese Medicine)

机构地区：[1]开封市儿童医院泌尿外科,河南开封475000 [2]河南兰考县中医院外科

出　　处：《临床泌尿外科杂志》2021年第7期580-582,共3页Journal of Clinical Urology

摘　　要：为观察保留尿道板改良Duckett手术治疗重度尿道下裂手术的临床疗效及并发症情况,开封市儿童医院泌尿外科2015年6月—2019年6月对35例采用一种保留尿道板改良Duckett手术治疗的重度尿道下裂患儿进行了6个月以上的长期随访,观察尿瘘、尿道狭窄及其他并发症发生情况。4例尿瘘,1例自行愈合,3例给予尿瘘修补治愈;1例尿道憩室;4例残余轻度下弯,其中3例为腹侧包皮坏死后腹侧瘢痕引起阴茎下弯,给予手术松解包皮成形后治愈;1例改良Duckett+Duplay考虑尿道过短引起下弯,家长诉勃起时无明显下弯,拒绝再次手术。保留尿道板改良Duckett对于大多数合并阴茎下弯的重度尿道下裂是较好的选择。The clinical effect and complications of modified Duckett operation with preservation of urethral plate in the treatment of severe hypospadias were observed. From June 2015 to June 2019, 35 children with severe hypospadias were followed up for more than 6 months, and the occurrence of urinary fistula, urethral stricture and other complications were observed. Four cases were found urinary fistula. One of them healed without intervention, and the other 3 cases were cured after urinary fistula repair. Urethral diverticulum was found in 1 case. Four cases were found residual mild chordee of penis, and three of them were caused by ventral scar after ventral prepuce necrosis. Then they were cured after loosening prepuce. One case of modified Duckett+Duplay was found chordee of penis caused by shortness of urethra. However, parents refused to operate again because of no obvious chordee of penis when erectile. The modified Duckett with urethral plate preservation is a good choice for most severe hypospadias with chordee of penis.

关 键 词：尿道下裂 畸形 尿道 

分 类 号：R693[医药卫生—泌尿科学]