尿道下裂患儿采用snodgrass术式和改良koyanagi术式治疗效果

Children with Hypospadias Use Snodgrass and Modified Koyanagi

目的分析尿道下裂患儿采用snodgrass术式和改良koyanagi术式治疗的临床效果。方法回顾性分析该院2012年6月—2015年6月收治的尿道下裂患儿共116例为研究对象,根据手术方式分为两组,A组为snodgrass组,采用snodgrass术式共67例;B组为koyanagi组,采用改良koyanagi术式49例。收集两组患儿手术时间、住院时间、术后并发症。结果两组患儿均一期完成手术,术后门诊复查随访1年,均随访成功,尿道口位于阴茎体正中,患儿家长对阴茎外观满意;A组(snodgrass组)手术时间100~120 min,平均(115±9.75)min,B组(koyanagi组)手术时间120~180 min,平均手术时间(145±11.25)min,两组对比差异有统计学意义(P<0.05)。并发症方面:A组(snodgrass组)术后发生尿道瘘8例,B组(Koyanagi组)术后发生尿道瘘6例,均行尿道瘘修补术后治愈出院,两组均无尿道狭窄及憩室发生,两组对比差异无统计学意义(P>0.05)。结论 snodgrass术式和改良koyanagi术式都是较为成熟的尿道下裂手术方式,临床治疗效果均较为优秀,疗效满意,并发症少。

Objective To analyze the clinical effects of snodgrass and modified koyanagi in children with hypospadias. Methods A total of 116 children with hypospadias who were admitted to the hospital from June 2012 to June 2015 were retrospectively analyzed. They were divided into two groups according to the surgical procedure. Group A was the snodgrass group and 67 patients were treated with snodgrass. Group B was koyanagi group, and 49 cases were treated with modified koyanagi. The operation time, hospitalization time and postoperative complications of the two groups were collected. Results All the patients underwent surget7 in the first phase. The follow-up was followed up for 1 years. All the patients were fol- lowed up successfully. The urethral orifice was located in the middle of the penis. The parents of the children were satisfied with the appearance of the penis. The operation time of group A （snodgrass group） was 100-120 min, （115±9.75）min, group B （koyanagi group） operation time 120-180 min, average operation time （145±11.25）min, the difference between the two groups was statistically significant （P〈0.05）. Complications： 8 patients with urethral fistula occurred in group A （snodgrass group） and 6 patients with urethra fistula in group B （Koyanagi group）. All patients underwent urethral hernia repair and were discharged. There were no urethral stricture and diverticulum in both groups. There was no significant difference be- tween the two groups （P〉0.05）. Conclusion The snodgrass procedure and the modified koyanagi procedure are relatively mature methods of hypospadias. The clinical treatments are excellent, the results are satisfactory, and the complications are few.