CAJ | 학술논문

目的探讨提高Duckett术式治疗尿道下裂手术成功率的技术要点.方法 2000至2008年采用Duckett手术1期治疗尿道下裂共57例病例.分A组(2000年至2005年手术的)和B组(2006年至2008年手术的)进行手术成功率、尿瘘及尿道狭窄发生率的分析比较.结果 B组手术成功率高于A组,尿瘘和尿道狭窄等并发症发生率更低(P<0.05).结论 Duckett手术要注意带血管蒂皮瓣的分离层面以及尿道管的缝合技术.血管蒂筋膜覆盖尿道管可以减少尿瘘发生.术中要注意消灭创面死腔.尿道吻合口和尿道外口缝合要宽敞.熟练掌握并灵活运用Duckett术式可以减少尿道F裂并发症的发生.
목적 탐토제고Duckett술식치료뇨도하렬수술성공솔적기술요점.방법 2000지2008년채용Duckett수술1기치료뇨도하렬공57례병례.분A조(2000년지2005년수술적)화B조(2006년지2008년수술적)진행수술성공솔、뇨루급뇨도협착발생솔적분석비교.결과 B조수술성공솔고우A조,뇨루화뇨도협착등병발증발생솔경저(P<0.05).결론 Duckett수술요주의대혈관체피판적분리층면이급뇨도관적봉합기술.혈관체근막복개뇨도관가이감소뇨루발생.술중요주의소멸창면사강.뇨도문합구화뇨도외구봉합요관창.숙련장악병령활운용Duckett술식가이감소뇨도F렬병발증적발생.
Objective To discuss the key points of Duckett's operation in treatment of hypospadias patients. Methods Total of 57 hypospadias patients who underwent Duckett's operation from 2000 to 2008 were divided into groupA (2000～2005) and groupB (2006～2008)in the study. The success rate of operation, incidence rate of urethrocutaneous fistula and urethrostenosis were comparatively analyzed between group A and group B. Results The success rate of group B was higher than that of group A, whereas the incidence rate of complications in groupB was lower than that in group A (P<0.05). Conclusion The anatomical layer of vascular pedicle skin flap and the skill of suture were important for Duckett's operation. The incidence of urethrocutaneous fistula can be minimized by vascular pedicle fascia covering the urethra. The dead space of wound should be avoided in the process of operation. Urethral anastomosis and external orifice should be spacious. Subtle and proficient surgical skill can reduce the complications of hypospadias repair.