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目的:通过分析不同类型尿道下裂Ⅰ期手术方法的疗效,选择有效的手术方式。方法:总结我院245例尿道下裂Ⅰ期手术的资料。结果:尿道口前移、阴茎头成形术（MAGPI）手术成功率100％;尿道口基底血管皮瓣法（Mathieu法）成功率95％;阴囊中线皮岛法成功率82％;带血管蒂包皮（Duckett法）成功率82.7％;Duckett+Du-play法成功率83.3％;膀胱黏膜法成功率73.5％。结论:阴茎头冠状沟下尿道下裂宜采用MAGPI术式,阴茎体前端1/3型尿道下裂宜用Mathieu法,后端型宜用Duckeet+Duplay法,仅在取材困难的尿道下裂才考虑用膀胱黏膜法。
Objective: To analyze the curative effect of different types of hypospadias stage Ⅰ surgical methods and select an effective surgical approach. Methods: A total of 245 cases of hypospadias surgery in our hospital data. Results: The success rate of the urethral anterior protrusion and penis angioplasty (MAGPI) was 100%. The success rate of the Mathieu method was 95%. The success rate of the scrotal midline skin island method was 82% (Duckett method) success rate of 82.7%; Duckett + Du-play method success rate of 83.3%; bladder mucosal method success rate of 73.5%. Conclusions: The MAGPI technique should be used for the treatment of hypospadias in the penis head coronaviation. The Mathieu method should be used for the type 1/3 hypospadias. The Duckeet + Duplay method for the posterior end should be used. Consider using the bladder mucosa method.