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目的探讨小儿尿道下裂的临床治疗及疗效。方法整群选取该院自2014年1月—2015年5月以来所收治的75例小儿尿道下裂患儿,按照抽签法将患儿分为传统组(37例)和尿道板组(38例)。传统组施以传统横行包皮岛状皮瓣尿道成形术;尿道板组施以尿道板纵切卷管尿道成形术。评价:1手术效果;2手术时间、出血情况;3手术并发症发生情况。结果 1尿道板组患儿手术效果100.00%显著比传统组81.08%高,差异有统计学意义,P<0.05;2尿道板组手术时间(40.23±6.34)min更短、出血(32.53±7.44)m L更少,差异有统计学意义,P<0.05;3尿道板组手术并发症发生情况显著比传统组少,其中,传统组尿瘘、排尿困难、阴茎下弯分别5例、4例和3例;尿道板组分别为1例、1例和0例,差异有统计学意义,P<0.05。结论尿道板纵切卷管尿道成形术治疗小儿尿道下裂效果确切,创伤小,操作更简单,并发症更少,值得推广。
Objective To investigate the clinical treatment and curative effect of pediatric hypospadias. Methods A total of 75 children with hypospadias treated in our hospital from January 2014 to May 2015 were enrolled in this study. Children were divided into traditional group (37 cases) and urethral plate group (38 cases ). The traditional group impose the traditional transverse prepuce island flap urethroplasty; urethral plate urethral plate is applied to the longitudinal incision volume urethroplasty. Evaluation: 1 surgical results; 2 operation time, bleeding; 3 surgical complications. Results The operation effect of 100 urei in the urethral plate group was significantly higher than that of the traditional group (81.08%, P <0.05). The urethral platelet operation time was shorter (40.23 ± 6.34) min and hemorrhage was (32.53 ± 7.44) There was a significant difference between the two groups (P <0.05). The incidence of complications in the urethral plate group was significantly less than that in the traditional group. Among them, the traditional group had 5 cases of urinary fistula, dysuria and penile curvature, 4 cases and 3 cases Cases; urethral plate group were 1 case, 1 case and 0 cases, the difference was statistically significant, P <0.05. Conclusion Urethral incision volume tube urethroplasty is effective in treating pediatric hypospadias. It is less traumatic and easier to operate with fewer complications and is worth popularizing.