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目的:探讨尿道板纵切卷管技术(TIP)在尿道下裂治疗中的临床应用和体会。方法:收集行TIP手术的尿道下裂患儿169例,年龄1.5~12岁,平均3.68岁,术后平均随访2年(6个月至3年)。TIP技术在Snodgrass手术的基础上进行改进,即纵切开尿道板,术后留置尿道支架,平均住院时间10 d。结果:169例患儿中18例(10.6%)术后有并发症,最常见并发症为尿道狭窄(9例,5.3%),其次为尿道皮肤瘘(8例,4.7%)。结论:TIP技术是一种可以适用于大多数尿道下裂的手术方法,临床经验和技术的总结,有助于提高使用这种方法的成功率,减少并发症的发生。
Objective: To investigate the clinical application and experience of TIP in hypospadias treatment. Methods: A total of 169 children with hypospadias were enrolled in this study. The patients were 1.5 to 12 years old (average 3.68 years). The average follow-up was 2 years (ranged from 6 months to 3 years). TIP technique was improved on the basis of Snodgrass operation, that is, slitting the urethral plate and placing the urethral stent after operation, the average length of stay was 10 days. Results: Of the 169 children, 18 (10.6%) had postoperative complications. The most common complication was urethral stricture (9 cases, 5.3%), followed by urethral skin fistula (8 cases, 4.7%). Conclusion: TIP is a surgical method, clinical experience and technique that can be applied to most hypospadias. It helps to improve the success rate of using this method and reduce the incidence of complications.