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目的 :探讨尿道下裂修复术的手术方式与治疗结果的关系。 方法 :对 1989～ 2 0 0 1年尿道下裂修复术 9种方式和不同的取材特点进行回顾性分析。 结果 :除术者的临床经验外 ,手术方式和取材对治疗效果有重要影响 ,其成功率为 :隧道式管状法尿道成形术 86 .4 % ,带蒂包皮岛瓣法尿道成形术 83.3% ,膀胱粘膜法尿道成形术 83%。结论 :尿道下裂修复术 9种术式和不同的取材各具优缺点 ,值得进一步研究和改进。
Objective: To investigate the relationship between the surgical methods and the results of hypospadias repair. Methods: 9 kinds of methods of hypospadias repair from 1989 to 2001 and the characteristics of different materials were analyzed retrospectively. Results: In addition to the clinical experience of the surgeon, the surgical methods and the material extraction had an important influence on the treatment effect. The successful rates were: tunnel-type urethoplasty 86.4%, pedicle preputial urethroplasty 83.3% Bladder mucosa urethroplasty 83%. Conclusion: There are 9 advantages and disadvantages of 9 kinds of operation and different materials for hypospadias repair, which deserves further study and improvement.