摘要
目的探讨改良尿道板重建卷管尿道成形术(改良Koyanagi术)、Duckett术、尿道板纵切卷管尿道成形术(TIP术)治疗小儿尿道下裂疗效比较。方法回顾性选择新疆维吾尔自治区第三人民医院2018年1月至2022年6月收治的100例尿道下裂患儿为研究对象,依照手术方法不同分为三组,30例行改良Koyanagi术患儿为A组,35例行Duckett术患儿为B组,35例行TIP术患儿为C组。比较三组术后排尿功能恢复时间、住院时间、整体治疗效果以及术后并发症发生情况。结果三组术后排尿功能恢复时间、住院时间、术中出血量、手术时间比较差异无统计学意义(P>0.05)。A、B、C组术后并发症发生率分别为20.00(6/30)、28.57%(10/35)、2.98%(1/35),C组术后并发症发生率低于A组和B组,差异有统计学意义(χ^(2)=4.94、8.74,P<0.05)。结论改良Koyanagi术、Duckett术、TIP术治疗小儿尿道下裂在手术相关指标方面相似,但TIP术的术后并发症较少。
Objective To compare the curative effects of modified urethral plate reconstruction rolled duct urethroplasty(modified Koyanagi operation),Duckett operation and tubularized incised plate urethroplasty(TIP operation)in the treatment of hypospadias in children.Methods The clinical data of 100 cases of children with hypospadias admitted to the Third People′s Hospital of Xinjiang Uygur Autonomous Region from January 2018 to June 2022 were analyzed retrospectively.According to different surgical schemes,they were divided into 3 groups,30 cases performed modified Koyanagi operation were set as group A,35 cases performed Duckett operation were set as group B,and 35 cases performed TIP operation were set as group C.The recovery time of urination function,hospital stay,overall treatment effect and postoperative complications were compared among the three groups.Results There were no significant differences in the recovery time of micturition function,hospitalization time,intraoperative blood loss and operation time among the three groups(P>0.05).The incidence of postoperative complications among the group A,B and C were 20.00%(6/30),28.57%(10/35),2.98%(1/35),and the incidence of postoperative complications in the group C was lower than that in the group A and group B(χ^(2)=4.94 and 8.74,P<0.05).Conclusions In the treatment of hypospadias in children by Modified Koyanagi operation,Duckett operation and TIP operation have no significant difference in curative effect,but TIP operation has fewer postoperative complications.
作者
陈文新
胡晓刚
阿力木江·阿不都热西提
张宁
南玉奎
Chen Wenxin;Hu Xiaogang;Alimujiang·Abudurexiti;Zhang Ning;Nan Yukui(Department of Urology Surgery,the Third People′s Hospital of Xinjiang Uygur Autonomous Region,Urumqi 830000,China;Department of Urological Center,People′s Hospital of Xinjiang Uygur Autonomous Region,Urumqi 830000,China)
出处
《中国医师进修杂志》
2025年第6期524-527,共4页
Chinese Journal of Postgraduates of Medicine
