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目的 比较尿道下裂不同修复术的疗效 ,明确一期手术的特点。方法 分析尿道下裂修复术的统计和随访资料。结果 DenisBrowne法二期修复术成功率 92 7% ;尿道游离延伸一期尿道修复术成功率 10 0 % ;Duckett法一期尿道修复术成功率 89 8% ;带蒂阴囊中缝皮管一期尿道修复术成功率 84.6 % ;尿道游离延伸法和Duckett法联合一期尿道修复术成功率 88 3% ;Duplay法或带蒂阴囊中缝皮管法和Duckett法联合一期尿道修复术成功率84 4% ;结论 尿道下裂修复术的成功率与术者的经验和手术操作及病人的年龄有关 ,一期尿道修复手术期短 ,外形完美 ,成功率高达 88 1% ,是值得推广应用的术式
Objective To compare the curative effects of different repair of hypospadias and to clarify the characteristics of the first stage operation. Methods Analysis of hypospadias repair statistics and follow-up data. Results The success rate of second stage repair of DenisBrowne method was 92.7%. The successful rate of first stage urethral repair of urethral extension was 100%. The success rate of first stage urethral repair by Duckett method was 89.8%. First stage urethral repair of pedicled scrotum The success rate of operation was 84.6%. The success rate of urethral extension and Duckett combined with urethral repair was 88.3%. The success rate of Duplay method or pedicle scrotum combined with Duckett method and urethral repair was 84.4% Conclusions The success rate of hypospadias repair is related to the surgeon’s experience and operation and the patient’s age. The first-stage urethral repair has a short operative period and a perfect shape with a success rate of 88.1%, which is worth popularizing and applying