摘要
回顾性分析2012年1月至2016年10月重庆医科大学附属永川医院收治的100例阴茎体型尿道下裂患儿,根据患儿年龄分成两组,对照组为〉1岁,观察组为6个月~1岁,各50例,均予以改良Snodgrass术式完成矫治,比较两组治疗后的临床效果。结果显示,两组尿道下裂患儿在术中出血量、术后离床活动时间、住院天数、疼痛情况、生活质量评分以及治愈率上比较差异无统计学意义(均P〉0.05),治愈率均较高。但在尿道瘘、尿道狭窄口狭窄、阴茎畸形愈合、阴茎下曲等手术并发症的总体发生率,观察组较对照组低(P〈0.05)。提示婴儿期修复尿道下裂临床效果显著。
The clinical data of 100 children or infants with penile hypospadias corrected with modified Snodgrass procedure during January 2013 to April 2016 from Yongchuan Hospital of Chongqing Medical University were retrospectively analyzed, including 50 cases aged 〈1 year (study group) and 50 cases aged 〉1 years (control group). The cure rates of study group and control group were 98% and 90%, and there was no significant difference between two groups (P〉0.05). There were also no significant differences in intraoperative blood loss, postoperative ambulation time, length of hospital stay, pain scores and quality of life scores between two groups (P〉0.05). However, the incidence of major complications, including urethral fistula, urethral opening stenosis, penis malunion, penile curvature in study group was lower than that in control group (P〈0.05). This study indicates that hypospadias correction during infancy may achieve better outcomes.
作者
刘波
王霞
刘星
陈太忠
Liu Bo;Wang Xia;Liu Xing;Chen Taizhong(Department of Pediatric Surgery,Yongchuan Hospital of Chongqing Medical University,Chongqing 402160,China)
出处
《中华全科医师杂志》
2018年第8期629-631,共3页
Chinese Journal of General Practitioners
基金
重庆市卫生与计划生育委员会科研基金项目(2016MSXM056)
关键词
尿道下裂
治疗结果
Hypospadias
Treatment outcome