横裁带蒂包皮岛状皮瓣尿道成形术对小阴茎头型尿道下裂的疗效及安全性  

Clinical Efficacy and Safety of Uurethroplasty with Transverse Pedicled Prepuce Island Flap for Hypospadias with Penile Head

作　　者：成毅 王海林 赵慧贤 CHENG Yi;WANG Hailin;ZHAO Huixian(Qinghai Women and Children's Hospital,Qinghai Xi'ning 810007,China)

机构地区：[1]青海省妇女儿童医院普外科,青海西宁810007

出　　处：《河北医学》2022年第8期1349-1352,共4页Hebei Medicine

基　　金：青海省卫生健康委员会指导性课题,(编号:2020-WJZDX-95)。

摘　　要：目的:分析横裁带蒂包皮岛状皮瓣尿道成形术(Duckett术)对小阴茎头型尿道下裂的临床运用价值。方法:回顾性分析我院2018年3月至2021年3月收治的129例小阴茎头型尿道下裂患儿临床资料。按照其治疗术式,分为Duckett组(n=67)和Snodgrass组(n=62)。对比两组患儿手术相关指标、术后并发症发生率,并比较两组治疗效果、家属满意率。结果:Duckett组手术时间、术中出血量较Snodgrass组更高,差异有统计学意义(P<0.05)。Duckett组术后尿瘘发生率低于Snodgrass组,差异有统计学意义(P<0.05)。Duckett组术后6个月治愈率高于Snodgrass组,差异有统计学意义(P<0.05)。术后6个月,Duckett组监护人满意率为86.57%,高于Snodgrass组的67.74%,差异有统计学意义(P<0.05)。结论:虽然Duckett术治疗小阴茎头型尿道下裂的操作更复杂、术中创伤较Snodgrass术略高,但患儿术后并发症发生率更低,其治愈率、监护人满意率也更高。Objective:To analyze the clinical value of urethroplasty with transverse cutting pedicled prepuce island flap(Duckett operation)for hypospadias with penile head.Methods:The clinical data of 129 cases of hypospadias with small penis head treated in our hospital from March 2018 to March 2021 were retrospectively analyzed.According to the therapeutic methods,they were divided into Duckett group(n=67)and Snodgrass group(n=62).The operation-related indexes,the incidence of postoperative complications,the treatment effect and family satisfaction rate of the two groups were compared.Results:Compared with snodgrass group,the operation time and blood loss in Duckett group were higher,and the difference was statistically significant(P<0.05).The incidence of postoperative urinary fistula in Duckett group was lower than that in Snodgrass group(P<0.05).The cure rate of Duckett group was higher than that of Snodgrass group 6months after operation,and the difference was statistically significant(P<0.05).Six months after operation,the satisfaction rate of guardians in Duckett group was 86.57%,which was higher than that in Snodgrass group(67.74%,P<0.05).Conclusion:Although Duckett’s operation in the treatment of hypospadias with small penis head is more complicated and the intraoperative trauma is slightly higher than that of Snodgrass’s operation,the incidence of postoperative complications in children is lower,and the cure rate and satisfaction rate of guardians are higher.

关 键 词：尿道下裂 带蒂包皮 岛状皮瓣 尿道成形术 

分 类 号：R726.9[医药卫生—儿科]