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目的:观察尿道下裂合并其他泌尿生殖系统畸形的临床特征与治疗效果。方法:选取120例尿道下裂合并其他泌尿生殖系统畸形患者,观察患者的临床特征、病症严重程度以及治疗效果。结果:畸形类型中,器官移位的发生率为31.7%,是最常见的类型,其次为隐睾、斜疝、器官移位、鞘膜积液、多种畸形;病情严重程度分级中,轻度患者23例,中度患者41例,重度患者56例,尿道下裂病情越严重,合并其他泌尿生殖系统畸形的发生率就越高,且各组间对比差异有统计学意义(P<0.05)。手术是治疗尿道下裂合并其他泌尿生殖系统畸形的有效手段,轻度患者的有效率为95.7%,中度患者的有效率为87.8%,重度患者的有效率为75.0%。结论:尿道下裂合并其他泌尿生殖系统畸形的类型中以器官移位最为常见,手术是该疾病的有效治疗手段。
Objective: To observe the clinical characteristics and treatment of hypospadias combined with other genitourinary system deformities. Methods: 120 patients with hypospadias combined with other genitourinary malformations were selected to observe the clinical features, the severity of the disease and the therapeutic effect. Results: The incidence of organ displacement was 31.7% in deformity type, which was the most common type, followed by cryptorchidism, oblique hernia, organ displacement, hydrocele and various deformities. The grading of disease severity was mild 23 cases of moderate degree, 41 moderate cases and 56 severe cases. The more severe the hypospadias, the higher incidence of other genitourinary system malformations, and the difference between the groups was statistically significant (P <0.05 ). Surgery is an effective method to treat hypospadias and other genitourinary malformations. The effective rate is 95.7% in mild patients, 87.8% in moderate patients and 75.0% in severe patients. Conclusions: Organ translocation is the most common type of hypospadias combined with other genitourinary malformations. Surgery is an effective treatment for this disease.