游离包皮内板一期尿道成形术治疗儿童尿道下裂

Improved free foreskin one-stage urethroplasty treatment for children hypospadias

目的总结采用游离包皮内板进行一期尿道成形术治疗儿童不同类型尿道下裂的疗效,为临床手术方式的选取提供依据。方法回顾分析本科室2010年2月至2012年6月对35例不同类型尿道下裂患儿采用游离包皮内板一期尿道成形术的临床资料。结果 5例患儿进行游离包皮内板一期尿道成形术后,阴茎伸直外观满意,尿道口位置正常;术后发生尿瘘1例,尿道狭窄4例,经行尿瘘修补或尿道扩张治愈,其余患者情况均良好。结论游离包皮内板一期尿道成形术是治疗各种类型的儿童尿道下裂较好的手术方式,具有手术成功率较高,阴茎外观满意,尿道狭窄、尿瘘并发症少等优点。

Objective To sumularize the therapeutic effect of one-stage urethroplasty by using free foreskin for children hypospadias, and to provide basis for clinical surgical approach. Methods Retrospectively analyze the clinical data of 35 cases of different types of children hypospadias patients who were performed one-stage urethroplasty by using free foreskin as artificial urinary from February 2010 to June 2012. Results After the opration, penis of all the patients were of satisfactory appearance and the urinary meatus were of normal position. There were 1 case of urinary fistula and 4 cases of urethrostenosis, which were cured by urinary fistula repair or urethral dilatation. Conclusion It is a good choice to treat different types of children hypospadias through one-stage urethroplasty with free foreskin, since it is of less complications such as urethral stenosis and fistula after operation.