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目的评价尿道板纵切卷管法(Snodgrass法)在治疗小儿尿道下裂中的应用。方法回顾性分析自2006年1月以来40例尿道下裂患儿,患儿年龄1岁8个月～14岁,平均3.8岁,其中冠状沟型10例,阴茎体型25例,轻度下弯的阴茎阴囊型5例,均行Snodgrass尿道成形术。结果手术时间60～100min,平均80min。手术治愈36例(90%)。术后发生尿瘘3例,2例自愈,1例修补获得成功;尿道口狭窄1例。结论 Snodgrass术式操作简单,手术时间短,成功率高,并发症较少,适合阴茎体型、冠状沟型、轻度下弯的阴茎阴囊型尿道下裂。
Objective To evaluate the application of Snodgrass method in the treatment of hypospadias in children. Methods A retrospective analysis of 40 cases of hypospadias children since January 2006, aged 1 year and 8 months to 14 years old, with an average of 3.8 years, of which 10 cases of coronary sulcus type, 25 cases of penis size, mild down 5 cases of penis scrotum, were performed Snodgrass urethroplasty. Results The operation time was 60-100min with an average of 80min. Surgical treatment of 36 cases (90%). Three cases of urinary fistula occurred after operation, two cases were self-healing and one case was repaired successfully. One case had urethral stricture. Conclusion Snodgrass operation is simple, short operation time, high success rate, less complications, suitable for the penis size, coronal ditch, slightly downward scrotal scrotum hypospadias.