CAJ | 학술논문

目的：评价改良Duckett联合Duplay和睾丸鞘膜覆盖术（Duckett+Duplay+睾丸鞘膜覆盖术）治疗重度尿道下裂疗效。方法回顾性分析2007年9月至2013年1月间47例行改良Duckett+Duplay+睾丸鞘膜覆盖术的重度尿道下裂患者的临床资料。患者年龄2~18岁，平均5.7岁，其中阴囊型41例，会阴型6例。结果一次性手术治愈42例（89.4%），有3例（6.4%）患者发生尿道外口狭窄，经尿道扩张治愈；2例（4.3%）患者发生尿瘘，半年后再次手术治愈。结论改良Duckett+Duplay+睾丸鞘膜覆盖术治疗重度尿道下裂疗效满意，可做临床推广。
목적：평개개량Duckett연합Duplay화고환초막복개술（Duckett+Duplay+고환초막복개술）치료중도뇨도하렬료효。방법회고성분석2007년9월지2013년1월간47례행개량Duckett+Duplay+고환초막복개술적중도뇨도하렬환자적림상자료。환자년령2~18세，평균5.7세，기중음낭형41례，회음형6례。결과일차성수술치유42례（89.4%），유3례（6.4%）환자발생뇨도외구협착，경뇨도확장치유；2례（4.3%）환자발생뇨루，반년후재차수술치유。결론개량Duckett+Duplay+고환초막복개술치료중도뇨도하렬료효만의，가주림상추엄。
Objective To evaluate the therapeutic effects of modified Duckett-Duplay's style and transfer and cover tunica vaginalis of testis in severe hypospadia repair. Methods Clinical data of 47 patients with severe hypospadia, whose age was from 2 to 18 years old, including 41 cases of scrotum type and 6 cases of perineum type between Dep 2008 and Jan 2012 were analyzed retrospectively. Results Total of 42 patients (89.4%) were cured in the first operation. Three patients (6.4%) with mild external orifice stricture were recovered by simple dilatafton. Two patients (4.3%) who developed urethraI fistula were managed by a second improved operation half a year after the first surgery. Conclusion The satisfactory therapeutic effect could be obtained by chosing patients properly, holding the operating skill,paying attention to protect the blood supply of skin flap, and enhancing the treatment after operation.