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目的探讨尿道板纵切卷管尿道成形术(Snodgrass)治疗小儿尿道下裂的临床疗效。方法回顾分析2010年9月-2012年9月行TIP治疗的尿道下裂患儿48例临床资料,其中阴茎体型30例,冠状沟型14例,阴茎阴囊型4例。结果 48例患儿均顺利完成Snodgrass手术,术中出血量31.74±9.37ml,手术时间38.51±8.84min。术后随访6-49个月,一次手术治愈44例(91.67%),术后并发尿瘘2例(4.17%),尿道口狭窄2例(4.17%),均在半年后再次手术治愈。结论 Snodgrass术操作简单,手术时间短,并发症少,适用于大多数小儿尿道下裂的治疗。
Objective To investigate the clinical efficacy of Snodgrass in the treatment of hypospadias in children. Methods The clinical data of 48 children with hypospadias treated by TIP from September 2010 to September 2012 were retrospectively analyzed. Among them, 30 were penis type, 14 were coronary sulcus type and 4 were penis scrotum type. Results All the 48 children underwent successful Snodgrass surgery. The intraoperative blood loss was 31.74 ± 9.37ml and the operation time was 38.51 ± 8.84min. The patients were followed up for 6-49 months, 44 cases (91.67%) were cured by one operation, 2 cases (4.17%) were complicated by urinary fistula and 2 cases (4.17%) were urethral stenosis. Conclusion Snodgrass operation is simple, the operation time is short, less complications, suitable for the treatment of most children with hypospadias.