摘要
目的:通过分析总结尿道下裂术后残留阴茎下弯的病例资料及治疗经验,探讨矫正阴茎下弯在尿道下裂治疗中的重要性。方法:回顾分析本院泌尿外科2005~2015年收治的尿道下裂术后残留阴茎下弯(>30°)的108例患者资料。年龄2岁5个月~16岁4个月,平均8岁2个月,平均住院次数1.81次,平均住院时间13.2d。治疗方法:Ⅰ期下弯矫正尿道成形术或分期手术(Ⅰ期下弯矫正尿道造瘘,Ⅱ期卷管成形尿道)。结果:Ⅰ期手术29例,分期手术79例,总体成功率分别为65.5%(19/29)、68.3%(54/79)。10例残留较轻下弯的患者保留了尿道板。平均随访4年6个月,无下弯复发病例。结论:医生应认识阴茎下弯矫正在首次手术中的重要性,一旦矫正不彻底,至少需2~3次手术再次修复,加大再次手术难度,增加患儿住院次数,影响患儿心理发育。
Objective：To summarize the experience of surgical repair for residual ventral penile curvature postoperative patients with hypospadias,in order to discuss the importance of correction of penile curvature in the treatment of hypospadias.Method：From 2005 to 2015,108 patients with residual curvature（〉30°）after repair of hypospadias were retrospectively studied.The age of the patients ranged from 29 to 196months（median,98）.The average number of hospitalization was 1.81,and the average length of stay in hospital was 13.2days.Correction via single stage or staged repair was performed to patients.Result：Twenty-nine patients were treated in single stage and 79 cases were in two stages,and the success rate of operation was 65.5%（19/29）and 68.3%（54/79）.Ten patients with residual curvature retained urethral plate.Mean follow-up period was 54 months,and there was no recurrent case of penile curvature.Conclusion：We should realize the importance of correction of penile curvature in the first operation of hypospadias.It is more difficult to deal with residual curvature and usually with low success rate.Moreover,patients may experience more surgeries,more times of hospitalization and even more psychological problems.
出处
《临床泌尿外科杂志》
2017年第7期505-508,共4页
Journal of Clinical Urology
基金
北京市医院管理局"登峰"人才培养计划(编号DFL20151102)
关键词
阴茎下弯
复发
尿道下裂
curvature of the penis
recurrence
hypospadias
