尿道延伸术治疗远端型尿道下裂

Preliminary evaluation of mobilization and advancement of the urethra in the treatment of distal hypos- padias

目的评价尿道延伸术治疗远端型尿道下裂的临床疗效。方法回顾性分析本院自2003年2月至2013年7月采用尿道延伸术治疗的18例年龄2-15岁远端型尿道下裂患儿的临床资料。结果18例患儿中，冠状沟型尿道下裂10例，阴茎远端型尿道下裂 8例；8例伴有轻—中度阴茎下曲畸形，重建尿道长度1-2．0 cm，平均1．5 cm 术后无尿瘘及尿道狭窄发生。。全部患儿均获3个月以上随访，随访期间阴茎下曲得以矫正，阴茎外观、尿道功能满意。结论尿道延伸术在选择好适应病例的情况下，具有手术恢复快、并发症少、尿道功能满意的优势。

Objective To investigate the clinical effect of mobilization and advancement of the urethra in the treatment of distal hypospadias.Methods A retrospective study was carried out on the clinical data of 18 patients aged 2 -15 years treated with the above methods between February 2003 and July 2013. Results Of the total 18 patients,10 children were coronal hypospadias and 8 patients were distal penile.Mean-while,8 cases had combined mild to moderate penile curvature.None of the patients developed post-operative fistula and meatal stricture.The length of reconstructing urethral ranged from 1.0 to 2.0 cm,with a mean of 1. 5 cm.Follow-up period was more than 3 months in all patients.Penile curvature was corrected.Penile appear-ance and urethral function were satisfatory. Conclusions Urethral mobilization and advancement has faster re-covery,fewer complications and satisfactory urethral function in appropriatelyselected cases.