目的:探讨提高Duckett术一期修复先天性尿道下裂的疗效措施。方法:分析采用Duckett术一期修复尿道下裂37例,其中4例联合应用Duplay术。结果:28例(75.6%)一期治愈,7例出现尿瘘,其中2例自愈,5例经尿瘘修补术后痊愈,2例尿道狭窄经扩张后痊愈。结论:Duckett术一期修复尿道下裂,适用于大部分类型的尿道下裂,娴熟的手术技巧是提高疗效的关键。 Objective: To investigate the efficacy of Duckett’s surgery to repair congenital hypospadias. Methods: 37 cases of hypospadias were treated with Duckett’s first-stage repair, of which 4 cases were treated with Duplay technique. Results: 28 cases (75.6%) were cured in one phase and 7 cases had urinary fistula, of which 2 were self-healing and 5 cases were cured by urinary fistula repair. Two cases of urethral stricture were cured after dilation. Conclusions: Stage 1 Duckett repair of hypospadias, for most types of hypospadias, skilled surgical techniques is to improve the efficacy of the key.