保留尿道板改良Duckett手术一期治疗重度尿道下裂

景登攀; 景秀梅; 张亚辉; 续晋中; 马建琦

doi:10.13201/j.issn.1001-1420.2021.07.015

保留尿道板改良Duckett手术一期治疗重度尿道下裂

- 1. 开封市儿童医院泌尿外科(河南开封, 475000);
- 2. 河南兰考县中医院外科

详细信息

通讯作者: 景登攀,E-mail:jingdp129@163.com

中图分类号: R693

收稿日期: 2020-03-28

Modified Duckett operation for the treatment of severe hypospadias

- 1. Department of Urology, Kaifeng Children's Hospital, Kaifeng, Henan, 475000, China;
- 2. Department of Surgery, Lankao Hospital of Traditional Chinese Medicine

More Information

Corresponding author: JING Dengpan, E-mail: jingdp129@163.com

Received Date: 28 March 2020

摘要

摘要: 为观察保留尿道板改良Duckett手术治疗重度尿道下裂手术的临床疗效及并发症情况,开封市儿童医院泌尿外科2015年6月—2019年6月对35例采用一种保留尿道板改良Duckett手术治疗的重度尿道下裂患儿进行了6个月以上的长期随访,观察尿瘘、尿道狭窄及其他并发症发生情况。4例尿瘘,1例自行愈合,3例给予尿瘘修补治愈;1例尿道憩室;4例残余轻度下弯,其中3例为腹侧包皮坏死后腹侧瘢痕引起阴茎下弯,给予手术松解包皮成形后治愈;1例改良Duckett+Duplay考虑尿道过短引起下弯,家长诉勃起时无明显下弯,拒绝再次手术。保留尿道板改良Duckett对于大多数合并阴茎下弯的重度尿道下裂是较好的选择。
- 尿道下裂 /
- 畸形 /
- 尿道
Abstract: The clinical effect and complications of modified Duckett operation with preservation of urethral plate in the treatment of severe hypospadias were observed. From June 2015 to June 2019, 35 children with severe hypospadias were followed up for more than 6 months, and the occurrence of urinary fistula, urethral stricture and other complications were observed. Four cases were found urinary fistula. One of them healed without intervention, and the other 3 cases were cured after urinary fistula repair. Urethral diverticulum was found in 1 case. Four cases were found residual mild chordee of penis, and three of them were caused by ventral scar after ventral prepuce necrosis. Then they were cured after loosening prepuce. One case of modified Duckett+Duplay was found chordee of penis caused by shortness of urethra. However, parents refused to operate again because of no obvious chordee of penis when erectile. The modified Duckett with urethral plate preservation is a good choice for most severe hypospadias with chordee of penis.
- hypospadias /
- malformation /
- urethra

HTML全文

参考文献(8)

[1]	陆毅群,葛琳娟,阮双岁.尿道下裂术式选择与术后尿道狭窄发生的相互关系[J].中华小儿外科杂志,2000,21(1):9-10.
[2]	Secrest CL,Jordan GH,Winslow BH,et al.Complications after hypospadias surgery[J].J Urol,1993,150:1418.
[3]	Talab SS,Cambareri GM,Hanna MK.Outcome of surgical management of urethral stricture following hypospadias repair[J].J Pediatr Urol,2019,15(4):354-360.
[4]	Myers JB,McAninch JW,Erickson BA,etal.Treatment of adults with complications from previous hypospadias surgery[J].J Urol,2012,188(2):459-463.
[5]	Andersson M,Doroszkiewicz M,Arfwidsson C,et al.Normalized Urinary Flow at Puberty after Tubularized Incised Plate Urethroplasty for Hypospadias in Childhood[J].J Urol,2015,194(5):1407-1413.
[6]	刘国昌,袁继炎,周鸿敏,等.尿道下裂术后尿道外口和吻合口狭窄的处理[J].临床小儿外科杂志,2003,2(1):5-7.
[7]	贾江华,齐进春,杜蕾,等.69例尿道下裂术后尿道狭窄的治疗经验分析[J].临床小儿外科杂志,2019,18(6):514-517.
[8]	Haxhirexha KN,Castagnetti M,Rigamonti W,et al.Two-stage repair in hypospadias[J].Indian J Urol,2008,24(2):226-232.