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目的:探讨在应用尿道板纵切卷管尿道成形术治疗尿道下裂患儿时使用下唇粘膜代尿道的临床效果,为提高尿道板纵切卷管尿道成形术治疗尿道下裂患儿疗效提供可靠依据,最终提高患儿生活质量。方法:研究组尿道下裂患儿在进行尿道板纵切卷管尿道成形术治疗时,采用下唇粘膜代尿道措施;对照组尿道下裂患儿采用传统尿道板纵切卷管尿道成形术治疗。对观察组与对照组患儿术后并发症发生情况进行记录,并给予统计学分析,得出结论。结果:观察组尿道下裂患儿并发症发生率为35.00,明显低于对照组患儿并发症发生率为65.00%,但两组患儿尿瘘发生率无显著差异,尿道狭窄发生率具有明显差异,且P<0.05,两组患儿对比结果具有统计学意义。结论:对尿道下裂患儿进行尿道板纵切卷管尿道成形术治疗时,选用下唇粘膜代尿道措施,可有效缩短尿道板切口创面进行自行上皮化所需时间,降低患儿术后发生尿道狭窄几率,从而减少术后并发症发生率,提高患儿生活质量,值得临床推广应用。
OBJECTIVE: To investigate the clinical effect of using urethral plaque urethroplasty in the treatment of hypospadias in children with hypospadias, and to improve the curative effect of hypospadias urethroplasty in children with hypospadias Reliable basis, and ultimately improve the quality of life of children. Methods: In the study group, children with hypospadias underwent urethroplasty with urethroplasty and urethroplasty, the inferior urethral mucosa was used, while the control group was treated by urethral plasty and urethroplasty . The incidence of postoperative complications in the observation group and the control group were recorded, and statistical analysis was given to draw conclusions. Results: The incidence of complications in children with hypospadias was 35.00 in observation group, which was significantly lower than that in control group (65.00%). However, the incidence of urinary fistula was no significant difference between the two groups, and the incidence of urethral stricture was significantly different , And P <0.05, the two groups of children with significant statistical significance. Conclusions: When urethroplasty of urethral plaque is carried out in children with hypospadias, the choice of lower urethral mucosa instead of urethra can shorten the time needed for spontaneous epithelization of urethral incision wounds and reduce the incidence of postoperative infants Urethral stricture probability, thereby reducing the incidence of postoperative complications and improve the quality of life of children worthy of clinical promotion and application.