论文部分内容阅读
目的:探讨先天性尿道下裂行尿道成形术后的管理方法,以提高手术成功率,降低术后并发症的发生;方法:回顾郑州大学第二附属医院泌尿外科2013年7月-2016年3月收治的先天性尿道下裂患儿58例,均采用耻骨上膀胱穿刺造瘘术加横裁包皮带蒂岛状皮瓣尿道成形术(Duckett术式),总结患儿术后疼痛、膀胱刺激、皮瓣愈合等护理技巧。结果:58例患儿中一次成形术成功37例(占63.7%),术后出现尿瘘6例(占10.3%),尿道狭窄15例(占25.8%),通过对患儿术后出现各种情况的有效干预,提高了患儿术后的生活质量及手术成功率,降低了并发症的发生。结论:有效的术后护理能够提高患儿术后舒适度及满意度,并提高手术成功率,明显降低并发症的发生。
Objective: To explore the management of congenital hypospadias after urethroplasty in order to improve the success rate of surgery and reduce the incidence of postoperative complications; Methods: Review of Second Affiliated Hospital of Zhengzhou University Urology July 2013 - 2016 3 Fifty-eight children with congenital hypospadias were treated by suprapubic bladder puncture and urethroplasty (Duckett operation) with transcortical pedicle island flap. The postoperative pain, urinary bladder irritation, , Flap healing and other nursing skills. Results: Among the 58 cases, 37 cases (63.7%) were successful in one operation, 6 cases (10.3%) had urinary fistula and 15 (25.8%) had urethral stricture after operation. Effective intervention of the situation, improve the quality of life in children with surgery and the success rate of surgery, reducing the incidence of complications. Conclusion: Effective postoperative care can improve the postoperative comfort and satisfaction of children, and improve the success rate of surgery, significantly reduce the incidence of complications.