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目的:探讨I期手术治疗新生儿尿道下裂的可行性。方法:1998年5月~2004年6月,对16例新生儿先天性尿道下裂患儿实施了尿道下裂I期修复术,患儿年龄1~29 d,平均13 d;其中尿道下裂I型4例,II型8例,III型3例,IV型1例。结果:14例痊愈,1例尿道狭窄,1例尿瘘,I期手术成功率87.5%(14/16)。结论:在确保麻醉安全的前提下,如果病例选择适当,对新生儿尿道下裂实施I期修复术是可行的。
Objective: To investigate the feasibility of stage I surgical treatment of neonatal hypospadias. Methods: From May 1998 to June 2004, 16 children with congenital hypospadias were treated with stage I hypospadias repair. The children were aged from 1 to 29 days with an average of 13 days. Among them, hypospadias 4 cases of type I, 8 cases of type II, 3 cases of type III and 1 case of type IV. Results: 14 cases recovered, 1 case of urethral stricture and 1 case of urinary fistula. The success rate of stage I operation was 87.5% (14/16). Conclusion: Under the precondition of ensuring the safety of anesthesia, if the case is properly selected, it is feasible to perform the one-stage repair of hypospadias in neonates.