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目的探讨尿道板纵切卷管法(Snodgrass法)在治疗尿道下裂中的应用。方法总结2000年2月至2008年2月我院收治的320例尿道下裂患儿的临床资料,其中第1次手术者294例,2次手术者26例。年龄1~13岁,平均4.65岁。均行Snodgrass尿道成形术。结果第一次手术成功275例,成功率为93.53%;二次手术成功22例,成功率为84.61%。手术时间40~90min,平均52min。术后发生尿道瘘10例,尿道口狭窄7例。结论Snodgrass尿道成形术手术操作相对简单,容易掌握,成功率高,适合阴茎头冠状沟型、阴茎体型、下弯不严重的阴茎阴囊型尿道下裂。对尿道成形失败者也是一种非常有效的手术方法。
Objective To investigate the application of Snodgrass method in the treatment of hypospadias. Methods The clinical data of 320 children with hypospadias admitted from February 2000 to February 2008 in our hospital were summarized. Among them, 294 were the first operation and 26 were the second operation. Ages 1 to 13 years old, average 4.65 years old. All performed Snodgrass urethroplasty. Results The first operation was successful in 275 cases, the success rate was 93.53%; the second operation was successful in 22 cases, the success rate was 84.61%. Surgery time 40 ~ 90min, an average of 52min. Postoperative urethral fistula in 10 cases, urethral stricture in 7 cases. Conclusion The operation of Snodgrass urethroplasty is relatively simple, easy to master, high success rate, suitable for the penis head coronal groove type, penis size, not serious penile scrotum hypospadias. It is also a very effective surgical method for urethral failure.