216例小儿尿道下裂手术治疗体会

SURGICAL TREATMENT OF 216 CASES OF HYPOSPADIAS

目的探讨小儿尿道下裂术式的选择及临床疗效。方法根据216例患儿的具体情况给予不同的术式,观察各术式的临床疗效及尿道瘘、尿道狭窄的发生率。结果 216例患儿术后出现尿道狭窄及尿道瘘各34例;各术式之间的并发症发生率以MAGPI术式最低,Duckett+Duplay及Duckett较高(χ2=26.65,P<0.01);各年龄组患儿术后并发症的发生率比较无统计学意义(χ2=2.45,P>0.05)。结论不同类型的尿道下裂需采用不同的手术方式,尿道瘘和尿道狭窄是最常见的且需要预防的手术并发症。

Objective To explore the operative option of pediatric hypospadia and their clinical effects. Methods Different operative options were used for 216 cases of pediatric hypospadia and the clinical effect and the occurrence of urethral fistula and urethral stricture was observed. Results 34 cases of urethral fistu la and 34 cases of urethral stricture were found. The incidence was the lowest in patients treated with MAGPI operation, while higher in patients treated with Duckett＋Duplay operation and Duckett operation （X^2 =26.65, P〈0.01）. No significant difference in the incidence of complications was found between dif ferent age groups（X^2= 2.45, P 〉0.05）. Conclusion Different surgical procedures should be taken for the different types of hypospadia. Urethral stricture and urinary fistula are the common postoperative compli cations that need to be prevented.