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目的 探讨尿道下裂手术后并发症发生因素和预防处理的办法。 方法 对7 年110例尿道下裂不同手术方法(Duplay 法40 例,阴囊纵隔瓣法30 例,Duckett 包皮瓣法40 例) 的并发症进行分析。 结果 并发症包括尿瘘31 例(28-2 %) ,尿道憩室或狭窄6 例,尿道僵直4 例,非正常尿道开口28 例(25-6 %) ,阴茎扭转9 例。 结论 降低尿瘘的发生率是尿道下裂手术成功的关键,Duckett 包皮瓣法可作为尿道下裂手术治疗的首选方法。
Objective To investigate the causes of postoperative complications of hypospadias and the preventive measures. Methods The complications of 110 cases of hypospadias in 7 years (Duplay method: 40 cases, 30 cases of scrotum mediastinal flap and 40 cases of Duckett flap) were analyzed. Results Complications included 31 cases of urinary fistula (28-2%), 6 cases of urethral diverticulum or stenosis, 4 cases of urethral rigidity, 28 cases (25-6%) of abnormal urethral opening and 9 cases of penile torsion. Conclusions Reducing the incidence of urinary fistula is the key to successful operation of hypospadias. The Duck-ett flap method can be the first choice for surgical treatment of hypospadias.