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目的探究不同尿道下裂手术的临床效果。方法选取睢县中医院收治的60例尿道下裂患者作为研究对象,按照随机分组方式将患者分为观察A组(30例)和观察B组(30例),观察A组采用隧道法加阴囊旋转皮瓣修复术治疗,观察B组采用Snodgrass术治疗,观察两组患者手术效果、手术时间以及术后并发症发生率,并对患者术后排尿疼痛强度进行测评。结果观察A组治疗成功28例,成功率为93.33%,手术发生尿道瘘1例(3.33%),尿道狭窄1例(3.33%),并发症发生率为6.67%;观察B组手术成功29例,成功率为96.67%,术后发生尿道瘘1例(3.33%)。两种手术方式成功率对比无显著统计学差异(P>0.05)。观察A组平均手术时间为(74.64±19.31)min,观察B组平均手术时间为(44.58±12.77)min,两组对比具有统计学意义(P<0.05)。观察A组术后疼痛强度评分为(65.31±12.34),观察B组疼痛强度评分为(26.38±9.55),对比具有显著差异(P<0.05)。结论运用隧道法加阴囊旋转皮瓣修复术和Snodgrass术治疗尿道下裂都能取得良好的治疗效果,Snodgrass手术时间短,患者恢复良好,值得在临床中予以推广应用。
Objective To investigate the clinical effect of different hypospadias surgery. Methods Sixty cases of hypospadias treated in Shexian Hospital of Traditional Chinese Medicine were selected as study subjects. Patients were divided into observation group A (30 cases) and observation group B (30 cases) according to randomization. A group was treated with tunnel plus scrotum Rotating flaps were repaired. The observation group B was treated with Snodgrass. The operative effect, operative time and the incidence of postoperative complications were observed in both groups. The pain intensity of urination was evaluated after operation. Results The success rate of treatment in group A was 93.33%. One case (3.33%) had urethral fistula and one case had urethral stricture (3.33%). The complication rate was 6.67%. In group B, 29 cases were successfully treated , The success rate was 96.67%, urethral fistula occurred in 1 case (3.33%). There was no significant difference between the two surgical methods in the success rate (P> 0.05). The mean operation time in group A was (74.64 ± 19.31) min. The average operation time in group B was (44.58 ± 12.77) min. There was significant difference between the two groups (P <0.05). The score of postoperative pain in group A was (65.31 ± 12.34), and the score of pain in group B was (26.38 ± 9.55), showing significant difference (P <0.05). Conclusions Both tunnel and scrotum revolving flap repair and Snodgrass operation can be used to treat the hypospadias. Snodgrass has a short operative time and good recovery. It is worth to be popularized in clinic.