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目的分析改良Koyanagi手术一期修复重型尿道下裂的临床疗效。方法选取2014年2月至2015年3月漯河市郾城区人民医院泌尿外科接收并治疗的重型尿道下裂患儿58例,随机分为观察组29例,对照组29例,对照组患儿给予Duckett与Du Play术治疗,观察组患儿给予改良Koyanagi术治疗,比较两组患儿临床疗效。结果观察组患儿治愈率为89.66%,并发症发生率为10.34%;对照组患儿治愈率为82.76%,并发症发生率为17.24%,差异未见统计学意义(P>0.05)。结论改良Koyanagi手术治疗重型尿道下裂,手术方法容易操作,临床疗效良好,且不增加患者并发症发生率。
Objective To analyze the clinical efficacy of modified Koyanagi surgery for the repair of severe hypospadias. Methods Fifty-eight children with severe hypospadias received and treated in Department of Urology, People’s Hospital of Luohe City from February 2014 to March 2015 were randomly divided into observation group (n = 29), control group (n = 29) and control group Duckett and Du Play, the observation group received modified Koyanagi surgery, and the clinical efficacy of the two groups was compared. Results The cure rate of the observation group was 89.66% and the complication rate was 10.34%. The cure rate of the control group was 82.76% and the complication rate was 17.24%. The difference was not statistically significant (P> 0.05). Conclusion Improved Koyanagi surgery for severe hypospadias, surgical methods easy to operate, good clinical efficacy, and does not increase the incidence of complications in patients.