尿道成形术治疗小儿尿道下裂的疗效分析

容国筹

（广西省桂平市人民医院小儿外科，广西桂平，537200）

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摘要：

目的 分析尿道成形术治疗小儿尿道下裂的应用效果。方法 选取我院2013年6月至2015年5月收治的66例小儿尿道下裂患者为研究对象，所有患儿均接受尿道成形术进行治疗，对患儿临床资料进行分析，探讨手术效果。结果 本组66例患儿中，治疗成功的患儿有62例，其中显效50例、有效12例、无效4例；无效的4例患儿发生尿瘘，症状改善不明显；对66例患儿进行6个月至1年半的随访，均未出现尿道壁皮脂储留或毛发生长的现象。结论 尿道成形术治疗小儿尿道下裂临床效果好，方法简单，成功率高，且并发症少，具有较好的推广与应用价值。

关键词：尿道成形术；小儿尿道下裂；尿瘘

中图分类号：R726.9文献标志码：A文章编号：2096-1413(2017)09-0068-02

Effect analysis of urethroplasty on hypospadias in children

RONG Guo-chou

(Department of Pediatric Surgery, Guiping People's Hospital, Guiping 537200, China)

ABSTRACT: Objective To analyze the application effect of urethroplasty on hypospadias in children. Methods Sixty-six children with hypospadias admitted in our hospital from June 2013 to May 2015 were selected as study objects. All the children were treated with urethroplasty. The clinical data of the children were analyzed and the curative effect was analyzed. Results There were 62 children with successful treatment in these 66 cases. Among them, 50 cases were markedly effective, 12 cases were effective, 4 cases were ineffective which occurred invalid fistula, and the symptom improvement was not obvious. All the children were followed up for 6 months to 1 years and a half, there were no sebaceous gland retention or hair growth. Conclusion Urethroplasty is a simple and effective method for hypospadias in children. It has a high success rate and few complications. It has a good popularization and application value.

KEYWORDS: urethroplasty; pediatric hypospadias; invalid fistula

参考文献：
[1] 周权,李伟,邹利文,等.包皮带蒂岛状皮瓣(Duckett)治疗小儿尿道下裂手术并发症的预防及处理[J].中华男科学杂志,2012,18(4):369-
371.
[2] 潘永斌,邱伟全,高卫华,等.尿道板纵切卷管尿道成形术+睾丸鞘膜覆盖技术修复远段型尿道下裂50 例报告[J].临床医学工程,2014,21
(2):199-200.
[3] 刘伟,吴荣德,张北叶,等.保留尿道板加包皮岛状皮瓣尿道成形术一期治疗尿道下裂的疗效观察[J].中华小儿外科杂志,2015,36(3):170-173.
[4] 苏诚,杨天佑,张志崇,等.长隧道带蒂包皮内板尿道成形术治疗阴茎体型尿道下裂的疗效分析[J].中华泌尿外科杂志,2011,32(11):740-
742.
[5] 邓永洪,梁志宇,王雪冰,等.尿道板纵切卷管尿道成形和加盖带蒂包皮瓣术加U 形支架管引流玉期治疗小儿尿道下裂临床研究[J].
吉林医学,2012,33(24):5274-5275.
[6] 唐耘熳,陈绍基,毛宇,等.尿道板重建卷管尿道成形术在复杂尿道下裂矫治中的应用[J].中华小儿外科杂志,2015,36(3):182-186.
[7] 丁向前.包皮岛状皮瓣联合阴囊纵隔皮瓣成形术治疗小儿重度尿道下裂31例[J].临床合理用药杂志,2016,9(26):174.
[8] 高晓芸,徐迪,贺晓伟,等.尿道板纵切卷管尿道成形术在小儿尿道下裂的临床应用价值[J].福建医药杂志,2015,37(1):22-24.
[9] 谢华,陈方,黄轶晨,等.包皮岛状皮瓣尿道板重建尿道成形术初步报告[J].中华小儿外科杂志,2014,35(5):370-373.
[10] 董昆,刘强,杨体泉,等.围术期处理对尿道下裂尿道成形术后尿瘘和尿道狭窄发生的影响[J].广西医学,2016,38(4):475-478.
[11] 宁峰,殷波,彭潜龙,等.尿道板纵切卷管尿道成形术治疗小儿尿道下裂的疗效观察[J].临床医学工程,2016,23(3):349-350.
[12] 毛宇,陈绍基,唐耘熳,等.尿道板重建分期卷管尿道成形术在初治重型尿道下裂中的应用[J].实用医院临床杂志,2016,13(4):1-4.
[13] 陈嘉波,杨体泉,王双全,等.加盖包皮岛状皮瓣尿道成形术的临床应用和单因素分析[J].中华实用儿科临床杂志,2014,29(2):151-153.