论文部分内容阅读
目的:探讨改良包皮脱套式修补法在治疗尿道下裂术后并发尿瘘的疗效和应用价值。方法:回顾性总结2001年5月至2011年12月因尿道下裂修复术后并发尿道瘘而接受治疗的87例患者临床资料。其中61例患者采用简单缝合或者Y-V成形术(A组),而另外26例患者采用改良的包皮脱套式修补法(B组)。比较两组患者的手术成功率及远期复发情况。结果:A组有13例术后仍存在尿瘘,而B组仅有1例术后尿瘘复发,两组总体修复成功率分别为78.7%和96.2%。A组第二次手术后仍有6例失败,随后对6例患者运用包皮脱套式修补法修复成功;B组第二次手术修复成功。经过4.5年的随访两组患者中没有发现复发病例。结论:包皮脱套式修补法可以显著提高尿瘘修复的成功率,有临床推广价值。
Objective: To investigate the curative effect and application value of modified desmooplasty in the treatment of urinary fistula after hypospadias operation. Methods: The clinical data of 87 patients who underwent urethral fistula resection after hypospadias repair from May 2001 to December 2011 were retrospectively reviewed. Sixty-one of these patients underwent simple suture or Y-V plasty (group A), while the other 26 patients underwent modified shunt-free repair (group B). The surgical success rate and long-term recurrence were compared between the two groups. Results: In group A, there were still 13 cases of urinary fistula after operation, while only 1 case of group B had recurrence of urinary fistula. The success rate of the two groups was 78.7% and 96.2% respectively. After the second operation, there were still 6 cases failed in group A, and subsequently 6 cases were successfully repaired by means of desmooplasty. In group B, the second operation was successfully repaired. After 4.5 years of follow-up, no recurrence was found between the two groups. Conclusion: Foreskin desmolatum repair method can significantly improve the success rate of urinary fistula repair, and has clinical value of popularization.