Duckett联合Duplay术修复重度尿道下裂

Repair of severe hypospadias with Duckett's and Duplay's technique

目的评价Duckett联合Duplay术式修复重度尿道下裂的疗效.方法重度尿道下裂患儿70例,一次成型尿道,远端用Duckett岛状皮瓣缝合皮管,近端采用尿道口附近阴囊皮肤做Duplay成型尿道,与Duckett管相吻合.对其中28例术后随访0.5～3年.结果 70例手术中,一次手术成功65例,并发症尿瘘3例,尿道狭窄伴憩室2例.所有患儿术后阴茎外观正常,排尿成线,与既往采用阴囊带蒂岛状皮瓣治疗重度尿道下裂54例中治愈40例(74%)相比较,有显著性差异(P<0.05).结论 Duckett联合Duplay术式对修复重度尿道下裂效果良好,外形满意,并发症发生率低,除发生合并症外,不需Ⅱ期手术.

Objective To assess the effect of Duckett and Duplay technique on repairing severe hypospadias. Methods 70 cases with severe hypospadias accepted urethraplasty with a penile and scrotal skin tube by Duckett＇s and Duplay＇s technique. Results The hypospadias of 65 cases were successfully repaired in one stage, 3 cases complicated urethral fistula, 2 caese complicated urethral stenosis with urethral diverticulum, which was significantly improved compared with the serotal cutaneous island flap techniques（P〈0.05）. Conclusion Duckett＇s and Duplay＇s techniques is a good method in the treatment of severe hypospadias with little complication.