摘要
目的探讨不同类型尿道下裂手术方法的疗效。方法总结388例尿道下裂手术资料,分析不同术式与尿道狭窄及尿道瘘的发生率。结果尿道口前移、阴茎头成形术(MAGPl)狭窄、尿道瘘发生率为零;Mathieu法的狭窄发生率为9.8%,尿道瘘发生率为5.7%;Dennis-Brown的狭窄、尿道瘘发生率分别为20%和20%;膀胱粘膜法的狭窄和尿道瘘发生率分别为8.6%和13%。结论阴茎头、冠状沟型尿道下裂宜采用MAGPI法,阴茎体型宜采用Mathieu法,近端型宜用加盖岛状皮瓣法或Duplay十Duckett法,膀胱粘膜一期尿道成形术适用于各种类型尿道下裂。
Objective To evaluate the different procedures for the repair of hypospadias, Methods From 1986 to 2004,388 patients underwent hy-tx-paidas repair, The postoprative stricture rate and fistula rate of each procedure were studied, Results Of the 388 cases, postoperative urethral stricture developed in 35 and fistula in 39, The postoperative stricture rate and fistula rate for MAGPI were both 0 %： these were 9, 8 % and 5, 7 % for Mathieu＇s operation, 20% and20 % for Dennis-Brown＇s procedure, 8,6 % and 13% for bladder mucosa flap procedure, Conclusion MAGPI is recommended for glandular and coronal hypospadias and Mathieu＇s operation for are not feasible, Onlay island flap procedure or penile pospadias. When the above-mentioned approaches Duplay and Duckett 抯 operation are recommended,
出处
《国际医药卫生导报》
2006年第17期57-59,共3页
International Medicine and Health Guidance News
关键词
尿道下裂
尿道狭窄
尿瘘
Hypospadias Urethral stricture Urinary fistula
