论文部分内容阅读
目的探讨改良包皮岛状皮瓣尿道成形术(Duckett术)对小儿重度尿道下裂预后的影响。方法回顾性分析2011年3月-2015年12月在该院行手术治疗的重度尿道下裂患儿42例,其中行改良Duckett术的22例患儿为观察组,行Duckett术的20例患儿为对照组。比较两组患儿手术成功率、手术时间、术中出血量、下床活动时间、住院天数、疼痛评分及并发症发生率。结果术后观察组成功率(86.36%)明显高于对照组(50.00%),差异有统计学意义(P<0.05)。观察组手术时间、术中出血量、下床活动时间、住院天数及疼痛评分均低于对照组,除手术时间外,其余指标组间比较差异均有统计学意义(P<0.05)。观察组术后并发症发生率(9.09%)明显低于对照组(40.00%),差异有统计学意义(P<0.05)。结论改良Duckett术治疗小儿重度尿道下裂术中出血量少,手术及住院时间短,患儿疼痛轻,能够尽早下床活动且并发症发生率低,可广泛推广使用。
Objective To investigate the effect of modified Duckett operation on the prognosis of severe hypospadias in children. Methods A retrospective analysis of 42 children with severe hypospadias who underwent surgery in our hospital from March 2011 to December 2015 was retrospectively performed. Twenty-two children undergoing Duckett’s operation were selected as the observation group. Duckett’s 20 patients Children as control group. The success rate of surgery, operation time, intraoperative blood loss, time to bed activity, hospitalization days, pain score and complication rate were compared between the two groups. Results The postoperative observation group (86.36%) was significantly higher than the control group (50.00%), the difference was statistically significant (P <0.05). The operation time, intraoperative blood loss, ambulation time, hospitalization days and pain scores in the observation group were all lower than those in the control group. There were significant differences among the other indexes except the operation time in the observation group (P <0.05). The incidence of postoperative complications in the observation group (9.09%) was significantly lower than that in the control group (40.00%), the difference was statistically significant (P <0.05). Conclusion The modified Duckett operation has the advantages of less blood loss, shorter operation and hospitalization time, less pain in children, getting out of bed as soon as possible and low complication rate. It can be widely used.