尿道板纵切卷管尿道成形术与加盖岛状皮瓣尿道成形术的应用比较

目的 比较尿道板纵切卷管尿道成形术（TIP）与加盖岛状皮瓣尿道成形术（OIF）在尿道下裂患儿中的应用价值.方法 选择2014年2月至2017年6月尿道下裂患儿52例,根据其手术方法的不同分为2组,其中行TIP治疗26例,行OIF治疗26例,比较两组手术疗效及并发症情况.结果 TIP组手术时间（84.56±6.34）min,OIF组（129.47±15.28）min,TIP组手术时间显著短于OIF组（P〈0.05）,两组术中出血量、住院时间、住院费用比较差异无统计学意义（P〉0.05）.两组一次手术成功率、术后最大尿流量比较差异无统计学意义（P〈0.05）.TIP组手术并发症发生率11.54％,OIF组15.38％,两组手术并发症比较差异无统计学意义（P〈0.05）.结论 在小儿尿道下裂的治疗上TIP与OIF均可起到满意的治疗效果,其中TIP操作相对简单,手术时间短,易于在尿道下裂的患儿中推广.

Objective To compare the application value of tubularized incised plate urethroplasty （ TIP ） with onlay island flap urethroplast）, （ OIF ） in hypospadias in children. Methods 52 cases of hypospadias in our hospital from February 2014 to June 2017 were selected and divided into two groups according to different surgical methods, including 26 cases of TIP treatment, 26 cases underwent OIF treatment, two groups of curative effect and complications were compared. Results TIP group operation time was （84.56±6.34 ） min, OIF group （ 129.47±15.28 ） rain, the operation time of TIP group was significantly shorter than that of OIF group （ P〈0.05 ） , two groups of intraoperative bleeding, hospitalization time and cost compared with no significant difference （ P〉0.05 ） . There was no significant difference in the success rate of one operation and the maximum urinary flow between the two groups （P〈0.05） . The complication rate was 11.54% in group TIP and 15.38% in group OIF. There was no significant difference in operative complications between the two groups （ P〈0.05 ） . Conclusion Both TIP and OIF can achieve satisfactory results in the treatment ofhypospadias in children. TIP is relatively simple and the operation time is short, so it is easy to be popularized in children.