CAJ | 학술논문

目的对比Duply联合Duckett和Koyanagi手术方法在重型尿道下裂中的治疗效果.方法 42例重型尿道下裂患儿按照手术方法不同分成两组,Duply联合Duckett组23例,Koyanagi组19例,分别采用两种手术方法矫正,比较手术时间及尿瘘、尿道狭窄、尿道憩室和阴茎扭转等并发症的发生率.结果两组手术时间比较差异无统计学意义(P＞0.05).两组术后尿瘘、尿道狭窄、尿道憩室和阴茎扭转发生率比较差异无统计学意义(x2值分别为0.04、0.31、0.03、1.16,P＞ 0.05).Duply联合Duckett组与Koyanagi组总并发症发生率比较差异有统计学意义[69.6％(16/23)比6/19](x2值为4.59,P＜0.05).结论两种方法均可作为重型尿道下裂的选择.
목적 대비Duply연합Duckett화Koyanagi수술방법재중형뇨도하렬중적치료효과.방법 42례중형뇨도하렬환인안조수술방법불동분성량조,Duply연합Duckett조23례,Koyanagi조19례,분별채용량충수술방법교정,비교수술시간급뇨루、뇨도협착、뇨도게실화음경뉴전등병발증적발생솔.결과 량조수술시간비교차이무통계학의의(P＞0.05).량조술후뇨루、뇨도협착、뇨도게실화음경뉴전발생솔비교차이무통계학의의(x2치분별위0.04、0.31、0.03、1.16,P＞ 0.05).Duply연합Duckett조여Koyanagi조총병발증발생솔비교차이유통계학의의[69.6％(16/23)비6/19](x2치위4.59,P＜0.05).결론 량충방법균가작위중형뇨도하렬적선택.
Objective To compare the treatment effect between Duply combined with Duckett and Koyanagi surgical methods in severe hypospadias.Methods Forty-two cases of severe hypospadias were divided into two groups according to the surgical method,23 cases was enrolled in Duply combined with Duckett group while 19 cases in Koyanagi group.The operation time,the incidence rate of urinary fistula,urethral stricture,urethral diverticulum and penis torsion were compared.Results The operation time between two groups had no significant difference (P ＞ 0.05).The incidence rate of urinary fistula,urethral stricture,urethral diverticulum and penis torsion between two groups had no significant difference (x2 =0.04,0.31,0.03,1.16,P ＞ 0.05).The total incidence rate of complications between Duply combined with Duckett group and Koyanagi group had significant difference [69.6％ (16/23) vs.6/19] (x2 =4.59,P ＜ 0.05).Conclusion Each of the two methods can be a choice in treatment of severe hypospadias.