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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 application of different urinary diversion methods in hypospadias surgery. Methods A total of 74 patients with hypospadias from January 2010 to January 2014 were retrospectively analyzed. Urethral drainage was performed with simple indwelling Foley catheter and U-shaped urethral stent combined with suprapubic cystostomy. Results 74 patients were followed up for 10 to 46 months. There were 12 cases of bladder spasm, 4 cases of incision infection and 8 cases of urinary fistula. Compared with the postoperative urinary bladder spasm, incision infection and urinary fistula, the complication rate of urethral stent combined with suprapubic cystostomy was significantly decreased (P <0.05). Conclusion Urethral stent combined with suprapubic cystostomy is an effective and feasible method of urinary diversion.