摘要
目的 分析尿道下裂尿道成形不同术式与术后尿道狭窄发生之间的关系。方法 总结１９８７ 年６ 月至１９９７ 年６ 月本院治疗的４３４ 例尿道下裂尿道成形术资料，术后合并尿道狭窄５０ 例，分析不同术式、狭窄发生部位及狭窄发生率之间的关系。结果 尿道口前移，龟头成形术（ ＭＡＧＰＩ）、Ｏｎｌａｙｉｓｌａｎｄ ｆｌａｐ 法（加盖岛状皮瓣技术） 的狭窄率为０，Ｍａｔｈｉｅｕ 法的狭窄率较低，为９ ．３ ％ ，而ＤｅｎｎｉＢｒｏｗｎ 与膀胱粘膜法的狭窄率较高，分别为２８ ．３ ％ 、３６．０ ％ 。结论 阴茎头、冠状沟型的尿道下裂尽量采用ＭＡＧＰＩ法；阴茎体型宜采用Ｍａｔｈｉｅｕ 法，而近端型宜采用Ｏｎｌａｙｉｓｌａｎｄ ｆｌａｐ 或Ｄｕｐｌａｙ＋ Ｄｕｃｋｅｔｔ法；只有当材料没有或缺乏时才考虑膀胱粘膜法。
Objective The aim of the study is to evaluate the stricture rates of different hypospadias repair.Method Of 434 patients who underwent hypospadias repair between July 1987 and July 1997, 50 developed urethral strictures. The stricture rate of each surgical approach was analyzed. Results The stricture rates of MAGPI and onlay island flap, Mathieu's operation, Dennis Brown's procedure and bladder mucosa flap were 0%, 0%, 9.3%, 28.3% and 36% respectively. Conclusions MAGPI is recommended for glandular and coronal hypospadias. Mathieu's operation is recommended for penile hypospadias. Onlay island flap or Duplay and Duckett's operation are recommended for proximal hypospadias. Bladder mucosal flap should be reserved for situations where the above approaches are not feasible.
出处
《中华小儿外科杂志》
CSCD
2000年第1期9-10,共2页
Chinese Journal of Pediatric Surgery
