CAJ | 학술논문

目的评价X-V皮瓣法在成年人尿道下裂术后尿瘘修补术中的疗效.方法选取2007年2月至2010年10月收治的22例成年人尿道下裂术后尿瘘患者作为试验组,修复手术中采用X-V皮瓣法;选取2000年1月至2007年1月收治的35例成年人尿道下裂术后尿瘘患者作为对照组,在修复手术中采用常规尿瘘修补术.比较两组术后的疗效.结果随访3～49(5.6±12.0)个月,对照组术后7例再次出现尿瘘.尿瘘发生率为20.0%(7/35);试验组术后无一例出现尿瘘;两组尿瘘发生率比较差异有统计学意义(P<0.05).结论在成年人尿道下裂术后尿瘘修补术中,采用X-V皮瓣法提高了手术成功率,降低了术后尿瘘发生率.
목적 평개X-V피판법재성년인뇨도하렬술후뇨루수보술중적료효.방법 선취2007년2월지2010년10월수치적22례성년인뇨도하렬술후뇨루환자작위시험조,수복수술중채용X-V피판법;선취2000년1월지2007년1월수치적35례성년인뇨도하렬술후뇨루환자작위대조조,재수복수술중채용상규뇨루수보술.비교량조술후적료효.결과 수방3～49(5.6±12.0)개월,대조조술후7례재차출현뇨루.뇨루발생솔위20.0%(7/35);시험조술후무일례출현뇨루;량조뇨루발생솔비교차이유통계학의의(P<0.05).결론 재성년인뇨도하렬술후뇨루수보술중,채용X-V피판법제고료수술성공솔,강저료술후뇨루발생솔.
Objective To analyze the curative effect of adult urethrocutaneous fistula after hypospadias repair with X-V dartos flap technique.Methods In the experimental group,the closed fistulas were wrapped with X-V dartos flap in the 22 cases of adult hypospedias fistulas from February 2007 to October 2010.In the control group,the routine fistulas repairs were preformed in the 35 cases of adult hypospadias fistulas from January 2000 to January 2007.The operative effects were compared between the two groups.Results All cases were followed up for 3-49(5.6±12.0)months,no fistula was found in the experimental group,while 7 fistulas(20.0%,7/35)were found in the control group.The fistulas rate had statistic difference between the two groupe(P<0.05).Conclusion The use of the X-V dartos flap technique can prevent adult urethroeutaneous fistula after failed hypospadias fistulas repair and raise the success rate.