CAJ | 학술논문

目的通过对尿道下裂患儿包皮及皮瓣血管蒂的血管分布进行研究,评估并重新认识成形尿道材料的血运情况.术后对患儿随访,了解近期并发症的发生情况,探讨包皮血管分布与近期并发症的相关性,评估手术效果.方法利用冷光源透照包皮法记录血管的分布及数量并进行归纳、分析、总结.术后对行Duckett或Duckett+ Duplay手术治疗的患儿进行随访.结果包皮浅筋膜深层血管分布类型:①1支主导血管,占42.4％；②2支主导血管,占34.7％；③3支主导血管,占13.6％；④多支主导血管(主导血管＞3支),占2.5％；⑤无明确主导血管,占6.8％.在有主导血管的病例中,主导血管的数目与尿道瘘及尿道狭窄的发生率无明确关系.结论尿道下裂患儿包皮浅筋膜深层血管分布可分为五个类型.浅筋膜深层血管分布类型与尿道下裂的严重程度无明确对应关系.包皮血管分布对Duckett整体手术效果影响很小.
목적 통과대뇨도하렬환인포피급피판혈관체적혈관분포진행연구,평고병중신인식성형뇨도재료적혈운정황.술후대환인수방,료해근기병발증적발생정황,탐토포피혈관분포여근기병발증적상관성,평고수술효과.방법 이용랭광원투조포피법기록혈관적분포급수량병진행귀납、분석、총결.술후대행Duckett혹Duckett+ Duplay수술치료적환인진행수방.결과 포피천근막심층혈관분포류형:①1지주도혈관,점42.4％；②2지주도혈관,점34.7％；③3지주도혈관,점13.6％；④다지주도혈관(주도혈관＞3지),점2.5％；⑤무명학주도혈관,점6.8％.재유주도혈관적병례중,주도혈관적수목여뇨도루급뇨도협착적발생솔무명학관계.결론 뇨도하렬환인포피천근막심층혈관분포가분위오개류형.천근막심층혈관분포류형여뇨도하렬적엄중정도무명학대응관계.포피혈관분포대Duckett정체수술효과영향흔소.
Objective To study the blood vessels distribution of foreskin in children with hypospadias and vesselpedicle, aiming to evaluate and recognize blood supply after application of urethra reconstruction materials. Follow up study was conducted after surgery and early complications were investigated to evaluate the correlation between blood vessel distribution of foreskin and early complications, as well as the therapeutic efficacy. Methods Duckett and Duckett + Duplay procedures were performed for the children with hypospadias. The cold lighting transmission techniques was utilized to record and evaluate the distribution of blood vessels in foreskins, and followed by summarization and analysis. The follow up was conducted for patients. Results Various blood vessels distribution could be found in superficial fascia in foreskin, in which simple main branch blood vessel type was 42.4 percent, double main branches type was 34.7 percent, three main branches types in them was 13.6 percent, and multi-branches type was 2.5 percent. Furthermore, 6.8 percent of them were not found to have branch blood vessel. Among all cases with branches blood vessels, there were no correlations between the number of branch blood vessels and incidences of fistula or stricture. Conclusions Blood vessels distribution could be classified into 5 types according to the number of branch blood vessels in superficial fascia in foreskin, and no correlations between blood vessel distribution type and severity of hypospadias. The distribution of blood vessel in foreskin has less effect on the operative efficacy.