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目的探讨基层医院小儿不同类型尿道下裂手术治疗体会经验。方法回顾性分析具体泌尿外科2008年7月～2009年7月收治的25例尿道下裂患者的临床资料。结果Ⅰ期下弯矫正术5例,snodgrassⅠ期尿道成形术8例,成功6例;Ⅱ期尿道成形术8例,成功5例;单纯尿瘘修补术7例,成功5例。术后并发症:尿道狭窄2例,行尿道扩张治愈。尿瘘8例,其中1例小瘘自愈,余7例需再次手术治疗。结论根据尿道下裂不同情况选择适宜的手术方式,手术操作娴熟精细,使用生物反应小的缝线是减少并发症、提高手术成功率的关键。
Objective To explore the experiences of different types of hypospadias surgery in primary hospitals in primary hospitals. Methods The clinical data of 25 patients with hypospadias treated in the department of urology from July 2008 to July 2009 were retrospectively analyzed. Results In the first stage, 5 cases were undercorrection, 8 cases underwent snodgrass stage Ⅰ urethroplasty, 6 cases were successful, 8 cases underwent stage Ⅱ urethroplasty, 5 cases were successful. Postoperative complications: urethral stricture in 2 cases, urethral dilatation and cure. Urinary fistula in 8 cases, of which 1 case of small fistula self-healing, more than 7 cases required re-operation. Conclusions According to the different conditions of hypospadias, the appropriate operation method is selected and the operation skill is fine and meticulous. Using the suture with small biological reaction is the key to reduce the complication and improve the success rate of operation.