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目的探讨改良尿道板纵切卷管尿道成形术治疗尿道下裂的疗效。方法回顾性分析2006至2012年采用改良尿道板纵切卷管尿道成形术对72例远端型先天性尿道下裂患儿行一期尿道成形术的资料,总结其术后效果。结果平均手术时间85 min,术后随访6~12个月,7例出现尿瘘,尿瘘率为9.7%,3例出现尿道狭窄,狭窄率为4.2%。尿瘘及尿道狭窄者经再次手术修复成功。结论改良尿道板纵切卷管尿道成形术治疗尿道下裂是一种操作简单、容易掌握、安全、有效的手术方式,特别适用于远端型尿道下裂。
Objective To investigate the curative effect of modified urethral plate longitudinal incision urethroplasty for hypospadias. Methods Retrospectively analyzed the data of one-stage urethroplasty in 72 children with congenital hypospadias with modified urethral plate longitudinal incisional urethroplasty from 2006 to 2012, and summarized their postoperative effects. Results The average operative time was 85 min. Follow-up was performed for 6 to 12 months. Urinary fistula was found in 7 patients. The rate of urinary fistula was 9.7%. Three patients had urethral stricture with a stenosis rate of 4.2%. Urinary fistula and urethral stricture were successfully re-operated. Conclusion The modified urethral plate longitudinal incision urethroplasty for the treatment of hypospadias is a simple, easy to grasp, safe and effective surgical approach, especially for distal hypospadias.