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目的:评价尿道板纵切卷管尿道成形术(Snodgrass手术)治疗尿道下裂的疗效。方法:回顾性分析2005年6月-2010年6月间38例行改良Snodgrass手术的尿道下裂患儿的临床资料。患儿年龄2-13岁,平均6.5岁,其中阴茎头型尿道下裂11例,阴茎体型23例,阴囊型4例。结果:一次性手术治愈34例(89.5%),有2例(5.3%)患儿发生尿道外口狭窄,经尿道扩张治愈;2例(5.3%)患儿发生尿瘘,半年后再行Snodgrass手术治愈。结论:改良Snodgrass手术操作相对简单,成功率高,适用于各型尿道下裂患儿,对于首次手术失败后再次尿道成形效果良好。
Objective: To evaluate the curative effect of urethral plasty urethroplasty (Snodgrass operation) on hypospadias. Methods: The clinical data of 38 children with hypospadias treated by modified Snodgrass procedure from June 2005 to June 2010 were analyzed retrospectively. Children aged 2-13 years, mean 6.5 years, of which 11 cases of penis head hypospadias, penis size in 23 cases, scrotum in 4 cases. Results: In one operation, 34 cases (89.5%) were cured, 2 cases (5.3%) had urethral stricture and cured by urethral dilatation. Urinary fistula was found in 2 cases (5.3% cure. CONCLUSIONS: The modified Snodgrass procedure is relatively simple and has a high success rate. It is suitable for all types of children with hypospadias, and has good re-urethral reconstruction after the first operation fails.