改良TIP治疗学龄前期远端型尿道下裂患儿的疗效评价  

Evaluation of the Effect Evaluation of Modified TIP Surgery for Preschool Children with Distal Hypospadias

作　　者：刘闯 杨斌[1] 陈海涛[1] 郭士磊 李立伟 LIU Chuang;YANG Bin;CHEN Haitao;GUO Shilei;LI Liwei(Second Department of Surgery,Baoding Children's Hospital,Baoding 071000,Hebei,China)

机构地区：[1]保定市儿童医院外二科,河北保定071000

出　　处：《中国美容医学》2023年第12期20-23,共4页Chinese Journal of Aesthetic Medicine

基　　金：保定市2022年度科技计划项目(编号:2241ZF078)。

摘　　要：目的:评价改良尿道板纵切卷管尿道成形术(Tubularized incised plate urethroplasty,TIP)治疗学龄前期远端型尿道下裂患儿的疗效。方法:以2020年2月-2021年6月笔者医院收治的学龄前期远端型尿道下裂患儿60例为研究对象,采用随机数字表法分为传统TIP组(30例)和改良TIP组(30例)。传统TIP组采用传统TIP进行治疗,改良TIP组采用改良TIP进行治疗,两组均观察至患儿出院,并随访6个月。统计两组患儿术后6个月临床疗效及住院期间并发症发生情况,比较两组术后6个月小儿阴茎感知评分量表(Penile perception rating scale,PPPS)及尿道下裂客观评分系统(Objective scoring system for hypospadias,HOSE)评分。结果:术后6个月,改良TIP组总有效率高于传统TIP组(P<0.05);术后6个月,改良TIP组监护人、医师PPPS、HOSE评分均高于传统TIP组(P<0.05);住院期间,改良TIP组总并发症发生率低于传统TIP组(P<0.05)。结论:与传统TIP相比,采用改良后TIP治疗学龄前期远端型尿道下裂患儿可有效改善患儿阴茎、龟头外形和功能,具有较好的治疗效果。Objective To evaluate the efficacy of modified posterior urethral plate longitudinal incision coil urethroplasty(TIP)for the treatment of preschool children with distal hypospadias.Methods A total of 60 children with preschool-age distal hypospadias admitted to our hospital from February 2020 to June 2021 were selected as the research objects and divided into traditional TIP group(30 cases)and improved TIP group(30 cases)by random number table method.The traditional TIP group was treated with traditional TIP surgery,while the improved TIP group was treated with modified TIP surgery.The children in both groups were observed until they were discharged from hospital and followed up for six months.The clinical efficacy at 6 months after surgery and the complications during hospitalization in the two groups were counted,and the scores of guardian's and physician's perception of penis scale(PPPS)and objective scoring system for hypospadias(HOSE)at 6 months after surgery were compared between the two groups.Results 6 months after surgery,the total effective rate of the improved TIP group was higher than that of the traditional TIP group(P<0.05).6 months after surgery,the scores of PPPS and HOSE in the improved TIP group were higher than those in the traditional TIP group(P<0.05).During hospitalization,the total complication rate in the improved TIP group was lower than that in the traditional TIP group(P<0.05).Conclusion Compared with the traditional TIP surgery,the modified TIP surgery for preschool children with distal hypospadias could effectively improve the shape and function of the penis and glans penis,and had a better therapeutic effect.

关 键 词：尿道下裂 学龄前期 远端型 尿道板纵切卷管尿道成形术 改良 

分 类 号：R622[医药卫生—整形外科]