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目的:评价带蒂包皮皮管(Duckett术式)修补尿道下裂的疗效。方法:1995年3月至2010年12月共施行带蒂包皮皮管(Duckett术式)修复尿道下裂356例,其中年龄小于14岁的患儿324例(91.0%),修补尿道长度最长10 cm,最短1.5 cm。结果:发生尿道瘘共30例(8.4%),外口狭窄1例,吻合口狭窄1例,比较不同年龄段和不同时期手术并发症发生率无显著性差异(P>0.05),总成功率91.0%。结论:Duckett术式应是Ⅰ期治疗尿道下裂的首选方法,尤其适用于阴茎下屈需要横断并切除尿道板的患儿。
Objective: To evaluate the efficacy of pedicled circumcision (Duckett procedure) in the repair of hypospadias. Methods: From March 1995 to December 2010, 356 cases of hypospadias were repaired by pedicled circumcision (324 cases), of which 324 cases (91.0%) were younger than 14 years old. The urethral length was the longest 10 cm, the shortest 1.5 cm. Results: There were 30 urethral fistulas (8.4%), 1 case of external stenosis and 1 case of anastomotic stenosis. There was no significant difference in the incidence of complications between different age groups and stages (P> 0.05). The total success rate 91.0%. Conclusion: Duckett operation should be the first choice for the treatment of hypospadias. It is especially suitable for pediatric patients with inferior penile flexion and transurethral resection of urethral plate.