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目的:比较尿道下裂术后单纯硅胶尿管引流与管中管法引流两种引流方法的优缺点。方法:回顾性总结2009年3月至2013年9月361例行尿道成形术尿道下裂患者的临床资料,其中91例采用尿管引流(A组)尿液,270例采用管中管引流(B组)尿液。比较两组患者术后膀胱刺激征、尿瘘、尿道狭窄及尿道憩室发生率。结果:A组发生膀胱刺激征9例(9.89%),尿瘘19例(20.80%),尿道狭窄10例(10.90%),尿道憩室1例(1.09%)。B组发生膀胱刺激征29例(10.70%),尿瘘36例(13.30%),尿道狭窄15例(5.55%),尿道憩室6例(2.22%)。两组膀胱刺激征及尿道憩室发生率并无统计学差别(P>0.05),尿管引流组尿瘘发生率高于管中管引流组(P<0.05)。尿管引流组尿道狭窄发生率高于管中管引流组(P<0.05)。结论:管中管法置管方式并不复杂,疗效优于单纯尿管引流法,值得进一步推广。
Objective: To compare the advantages and disadvantages of two drainage methods of simple silicone tube drainage and tube tube drainage after hypospadias surgery. Methods: The clinical data of 361 patients with hypospadias undergoing urethroplasty from March 2009 to September 2013 were retrospectively reviewed. Among them, 91 patients underwent catheter drainage (group A) and 270 patients underwent ductal drainage Group B) urine. Urinary fistula, urethral stricture and urethral diverticulum incidence were compared between the two groups. Results: There were 9 cases (9.89%) of bladder irritation in group A, 19 cases (20.80%) of urinary fistula, 10 cases of urethral stricture (10.90%) and 1 case of urethral diverticulum (1.09%). In group B, 29 cases (10.70%) had bladder irritation, 36 cases (13.30%) had urethral fistula, 15 cases (5.55%) had urethral stricture and 6 cases (2.22%) had urethral diverticulum. There was no significant difference between bladder irritation and urethral diverticulum (P> 0.05). The incidence of urinary fistula in catheter drainage group was higher than that in catheter drainage group (P <0.05). The incidence of urethral stricture in catheter drainage group was higher than that in tube drainage group (P <0.05). Conclusion: Tube tube method is not complicated, and the curative effect is better than that of ureteral drainage method, which is worth further promotion.