横向带蒂包皮皮管(Duckett术式)修补尿道下裂356例

Transverse preputial island flap technique(Duckett's procedure) for hypospadias repair: A report of 356 cases

目的:评价带蒂包皮皮管(Duckett术式)修补尿道下裂的疗效。方法:1995年3月至2010年12月共施行带蒂包皮皮管(Duckett术式)修复尿道下裂356例,其中年龄小于14岁的患儿324例(91.0%),修补尿道长度最长10 cm,最短1.5 cm。结果:发生尿道瘘共30例(8.4%),外口狭窄1例,吻合口狭窄1例,比较不同年龄段和不同时期手术并发症发生率无显著性差异(P>0.05),总成功率91.0%。结论:Duckett术式应是Ⅰ期治疗尿道下裂的首选方法,尤其适用于阴茎下屈需要横断并切除尿道板的患儿。

Objective： To evaluate the effect of the transverse preputial island flap technique （Duckett＇s procedure ） for hypospadias repair. Methods： A total of 356 patients with hypospadias were treated by Duckett＇s procedure from March 1995 to December 2010, of whom 324 （91.0%） were younger than 14 years. The length of urethra repair ranged from 1.5 to 10 cm. Results ： The total success rate of Duekett~ procedure was 91.0%. Urethra fistula occurred in 30 cases, external orifice stricture in 1, and ure- thral anastomosis stricture in another. There were no significant differences in the rate of complications among either different age groups or different surgical times （P 〉 0.05 ）. Conclusion ： Duckett＇s procedure remains the first choice for the one-stage repair of hypospadias, especially applicable to hypospadias with chordee.