不同的尿流改道在尿道下裂手术中的应用

Different ways of urinary diversion in hypospadia repair

目的 观察不同的尿流改道方法在尿道下裂手术中的应用效果。方法 回顾性分析2010年1月至2014年1月的74例尿道下裂患者,采用单纯留置Foley导尿管和U型尿道支架管联合耻骨上膀胱造瘘引流尿液,一期尿道成形。结果 74例患者术后获随访10～46个月,出现膀胱痉挛12例,切口感染4例,尿瘘8例。与单纯留置导尿管的术后膀胱痉挛、切口感染、尿瘘发生率相比较,U型尿道支架管联合耻骨上膀胱造瘘法的并发症发生率明显降低（P〈0.05）。结论 尿道支架管联合耻骨上膀胱造瘘是一种有效、可行的尿流改道方法。

Objective To observe the effects of different ways of urinary diversion in hypospadia repair. Methods From January 2010 to January 2014, Foley urethral catheter. U-shaped drainage stent combined with suprapubic cystostomy （malecot catheter/Foley catheter） were applied to repair congenital hypospadias jointly in 74 patients. Rosuits All patients were followed up for 10-46 months. Urinary fistula occurred in 8 patients, cystospasm in 12 patients, incision infection in 4 patients. The incidence of complications in the U-shaped drainage stent combined with suprapubic cystostomy was lower than that in Foley urethral catheter. Conclusion U-shaped drainage stent combined with suprapuhic cystostomy is an effective and feasible method of urinary diversion in hypospadias repair.