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目的总结不做膀胱造瘘术一期治疗中重度尿道下裂的手术经验并分析疗效。方法回顾性分析尿道下裂术后做膀胱造瘘术89例,不做膀胱造瘘术97例,以造瘘组作为对照组,无膀胱造瘘组为试验组,并对两组病例的一期治愈率等效果按不同术式进行统计学的比较分析。结果相同术式下膀胱造瘘组与无造瘘组相比较术后一期治愈率、并发症发生率经χ2检验差异无统计学意义(P>0.05)。结论尿道下裂术后不做膀胱造瘘术是一种可靠的矫正中重度尿道下裂术式,可以减轻患者的创伤,减少并发症,值得提倡。
Objective To summarize the experience of not having a cystostomy in the treatment of moderate-severe hypospadias and to analyze the curative effect. Methods A retrospective analysis of 89 cases of bladder fistulation after hypospadias surgery, without bladder fistulation in 97 cases, the fistula group as a control group, no cystostomy group as the experimental group, and two cases of a The cure rate and other effects according to different surgical statistic comparative analysis. Results In the same procedure, there was no significant difference in the incidence of postoperative complications between the bladder ostomy group and the non-fistula group (P> 0.05). Conclusion Postoperative hypospadias without bladder ostomy is a reliable method of correcting moderate and severe hypospadias, which can reduce the trauma and reduce the complications of patients. It is worth promoting.