尿道下裂手术后并发症(附110例报告)

Complications of hypospadias repair

目的 探讨尿道下裂手术后并发症发生因素和预防处理的办法。 方法 对７ 年１１０例尿道下裂不同手术方法（Ｄｕｐｌａｙ 法４０ 例，阴囊纵隔瓣法３０ 例，Ｄｕｃｋｅｔｔ 包皮瓣法４０ 例） 的并发症进行分析。 结果 并发症包括尿瘘３１ 例（２８－２ ％） ，尿道憩室或狭窄６ 例，尿道僵直４ 例，非正常尿道开口２８ 例（２５－６ ％） ，阴茎扭转９ 例。 结论 降低尿瘘的发生率是尿道下裂手术成功的关键，Ｄｕｃｋｅｔｔ 包皮瓣法可作为尿道下裂手术治疗的首选方法。

Objective To study and analyze the complications of hypospadias repair. Methods In the past 7 years,a total of 110 cases underwent hypospadias repair by the method of Duplay( n =40),scrotal flap (30) and Duckett's preputial island flap (40) were reviewed and the complications were studied. Results Complications include fistula ( n =31,28.2%),urethral diverticulum or stenosis ( n =6),strictures ( n =4),abnormal situation of the meatus ( n =28,25.6%) and torsion of the penis ( n =9). Conclusions To make the hypospadias repair successful,it is essential to lessen the complication of fistula.Du ckett's procedure is recommended as the treatment of choice for hypospadias repair.