改良Snodgrass术治疗尿道下裂的临床研究

发布时间：2018-03-07 23:09

本文选题：改良Snodgrass术　切入点：尿道下裂　出处：《中华男科学杂志》2017年10期 　论文类型：期刊论文

【摘要】：目的:探讨改良Snodgrass术治疗尿道下裂的临床疗效。方法:回顾性分析2008年1月至2016年10月收治尿道下裂病例212例,其中94例行改良Snodgrass术,即增加1根丝线用于缝合,便于术后拆除尿道板缝线;118例行传统Snodgrass术。改良法采用术后第10天拆除尿道板缝线。比较两种手术成功率、术后并发症情况。结果:改良Snodgrass术组和传统Snodgrass术组手术成功率分别91.49%、81.36%,其差异有统计学意义(P0.05),切口感染、尿瘘、尿道狭窄等的发生率:改良Snodgrass术组分别为4.26%、6.38%、2.13%,传统Snodgrass术组分别为12.71%、16.10%、2.54%。切口感染和尿瘘的发生率差异有统计学意义(P0.05),尿道狭窄的发生率差异无统计学意义(P0.05)。结论:改良Snodgrass术可以提高手术成功率,降低术后切口感染和尿瘘的发生率,有临床推广价值。
[Abstract]:Objective: to investigate the clinical effect of modified Snodgrass in the treatment of hypospadias. Methods: from January 2008 to October 2016, 212 patients with hypospadias were treated retrospectively. Traditional Snodgrass procedure was used to remove suture of urethral plate. The modified method was used to remove suture of urethral plate on the 10th day after operation. The success rate of the two operations was compared. Results: the successful rate of operation in the modified Snodgrass group and the traditional Snodgrass group was 91.49 and 81.36, respectively. The difference was statistically significant (P 0.05). The incidence of urethral stricture in the modified Snodgrass group was 4.26 and 6.38, respectively, and that in the traditional Snodgrass group was 12.71 and 16.102.54.The incidence of incision infection and urinary fistula was significantly different (P0.05), and there was no significant difference in the incidence of urethral stricture (P 0.05). Conclusion: the incidence of urethral stricture is not significantly different from that in the traditional Snodgrass group. Snodgrass can improve the success rate of the operation. It is valuable to reduce the incidence of incision infection and urinary fistula after operation.
【作者单位】：莆田湄洲湾职业技术学院医学院;福建医科大学附属第一医院小儿外科;
【基金】：福建省卫计委青年基金课题(2014-1-63)~~
【分类号】：R726.9

【相似文献】