尿道下裂合并其他泌尿生殖系统畸形的临床分析及治疗

Clinical Analysis and Treatment of Hypospadias Accompanied by Associated Anomalies in Urogenital System

目的 :分析尿道下裂合并畸形的发生情况及其在临床诊治中的意义。 方法 :对 1970年 1月～ 2 0 0 3年 1月我院收治的 341例尿道下裂病人合并其他泌尿系统畸形情况进行分析 ,了解各种畸形发生情况及处理方法。 结果 :先天性尿道下裂合并泌尿系统畸形的发生率高达 2 1.1% ,其中以隐睾及腹股沟疝最多见 ,而且畸形发生率与尿道下裂严重程度相关。 结论 :尿道下裂及其合并畸形应作为整体疾病对待 ,对应各种合并畸形应采取相应方法进行治疗 。

Objectives: To study the occurrence of different anomalies associated with hypospadias and to instruct relevant treatment in clinical practice. Methods: Three hundred and forty one cases of hypospadias were investigated, all treated respectively corresponding to their specific anomalies. Results: The morbidity of associated anomalies in cases of hypospadias was as high as 21.1 %. Most of the anomaly cases were undescended testes and inguinal hernia, and the incidence of associated anomalies was related to the degree of hypospadias. Conclusions: Hypospadias is not just a local dysmorphic problem but rather a local manifestation of a systemic disease. It is necessary to take those associated anomalies as a systemic whole and attach enough importance to their clinical treatment.