临床小儿外科杂志
臨床小兒外科雜誌
림상소인외과잡지
JOURNAL OF CLINICAL FEDIATRIC SURGERY
2015年
2期
139-141
,共3页
李飞%张跃%袁淼%黄桂珍%曾莉%黄鲁刚
李飛%張躍%袁淼%黃桂珍%曾莉%黃魯剛
리비%장약%원묘%황계진%증리%황로강
尿道下裂%外科手术/方法%儿童
尿道下裂%外科手術/方法%兒童
뇨도하렬%외과수술/방법%인동
Hypospadias%Surgical Procedures,Operative /MT%Child
目的评价尿道延伸术治疗远端型尿道下裂的临床疗效。方法回顾性分析本院自2003年2月至2013年7月采用尿道延伸术治疗的18例年龄2~15岁远端型尿道下裂患儿的临床资料。结果18例患儿中,冠状沟型尿道下裂10例,阴茎远端型尿道下裂 8例;8例伴有轻—中度阴茎下曲畸形,重建尿道长度1~2.0 cm,平均1.5 cm 术后无尿瘘及尿道狭窄发生。。全部患儿均获3个月以上随访,随访期间阴茎下曲得以矫正,阴茎外观、尿道功能满意。结论尿道延伸术在选择好适应病例的情况下,具有手术恢复快、并发症少、尿道功能满意的优势。
目的評價尿道延伸術治療遠耑型尿道下裂的臨床療效。方法迴顧性分析本院自2003年2月至2013年7月採用尿道延伸術治療的18例年齡2~15歲遠耑型尿道下裂患兒的臨床資料。結果18例患兒中,冠狀溝型尿道下裂10例,陰莖遠耑型尿道下裂 8例;8例伴有輕—中度陰莖下麯畸形,重建尿道長度1~2.0 cm,平均1.5 cm 術後無尿瘺及尿道狹窄髮生。。全部患兒均穫3箇月以上隨訪,隨訪期間陰莖下麯得以矯正,陰莖外觀、尿道功能滿意。結論尿道延伸術在選擇好適應病例的情況下,具有手術恢複快、併髮癥少、尿道功能滿意的優勢。
목적평개뇨도연신술치료원단형뇨도하렬적림상료효。방법회고성분석본원자2003년2월지2013년7월채용뇨도연신술치료적18례년령2~15세원단형뇨도하렬환인적림상자료。결과18례환인중,관상구형뇨도하렬10례,음경원단형뇨도하렬 8례;8례반유경—중도음경하곡기형,중건뇨도장도1~2.0 cm,평균1.5 cm 술후무뇨루급뇨도협착발생。。전부환인균획3개월이상수방,수방기간음경하곡득이교정,음경외관、뇨도공능만의。결론뇨도연신술재선택호괄응병례적정황하,구유수술회복쾌、병발증소、뇨도공능만의적우세。
Objective To investigate the clinical effect of mobilization and advancement of the urethra in the treatment of distal hypospadias.Methods A retrospective study was carried out on the clinical data of 18 patients aged 2 ~15 years treated with the above methods between February 2003 and July 2013. Results Of the total 18 patients,10 children were coronal hypospadias and 8 patients were distal penile.Mean-while,8 cases had combined mild to moderate penile curvature.None of the patients developed post-operative fistula and meatal stricture.The length of reconstructing urethral ranged from 1.0 to 2.0 cm,with a mean of 1. 5 cm.Follow-up period was more than 3 months in all patients.Penile curvature was corrected.Penile appear-ance and urethral function were satisfatory. Conclusions Urethral mobilization and advancement has faster re-covery,fewer complications and satisfactory urethral function in appropriatelyselected cases.