|
|
|
| Application value analysis of modified tubulaxized incised plate urethroplasty in the treatment of hypospadias in children |
| LI Wei-jun1 FU Xiu-mei2 ZHONG Bin1 LIU Hui1 |
1.Department of Pediatric Surgery,Maternal and Child Health Hospital in Ganzhou City,Jiangxi Province,Ganzhou 341000,China;
2.Department of Prenatal Diagnosis,Maternal and Child Health Hospital in Ganzhou City,Jiangxi Province,Ganzhou 341000,China |
|
|
|
|
Abstract ObjectiveTo investigate the application value of modified tubularized incised plate(TIP)urethroplasty in the treatment of hypospadias in children.MethodsAltogether 82 cases of pediatric hypospadias who accepted surgical treatment in our hospital from March 2014 to March 2016 were selected as subjects and were randomly divided into two groups according to the random number table method,41 cases in each group.The traditional surgical method was used in the control group;while,the observation group were treated with modified TIP urethroplasty.The surgical effectiveness and complications of patients between two groups were compared,the incidence of postoperative urinary fistula was recorded in the observation group.ResultsThe total effective rate of patients in the observation group of postoperative follow-up 6-15 months was 97.56%,which was significantly higher than the 85.37%in the control group,and the difference was statistically significant(P＜0.05),the penis shape of patients were normal with right urethral opening position,smooth urination and no penile curvature.After the operation,the incidence of urinary fistula,urethral stricture and infection in the observation group were significantly lower than those in the control group,and the differences were statistically significant(P＜0.05).Penis scrotal type has the highest incidence of urinary fistula of patients in the observation group,followed by the penis size type,coronary ditch type without urinary fistula.The incidence of urinary fistula in the penis size type,coronary sulcus type and penis scrotal type were compared,and the difference was statistically significant(P＜0.05).The patients with urinary fistula underwent fistulous neoplasty and were recovered,and patients with urinary tract stenosis were treated with urethral dilatation and recovered.ConclusionThe modified TIP urethroplasty has good application value in the treatment of children with hypospadias,can improve the success rate of operation,reduce the risk of postoperative complications and reoperations,and can accelerate the postoperative recovery in children,which has positive clinical significance.
|
|
|
|
|
|
| [1] |
高晓芸，徐迪，贺晓伟，等.尿道板纵切卷管尿道成形术在小儿尿道下裂的临床应用价值[J].福建医药杂志，2015，37（1）：22-24.
|
| [2] |
王伟.尿道板纵切卷管尿道成形术小儿尿道下裂疗效观察[J].中国医疗美容，2015，5（2）：38-40.
|
| [3] |
杨松林.尿道板纵切卷管尿道成形术在尿道下裂治疗中的临床研究[J].中国医学工程，2014，22（9）：64-65.
|
| [4] |
陈嘉波，杨体泉.尿道板纵切卷管尿道成形术治疗尿道下裂 22 例[J].实用儿科临床杂志，2007，22（11）：831-832.
|
| [5] |
陈小朋，杨艳芳，李骥.尿道板纵切卷管尿道成形术治疗小儿尿道下裂临床效果观察[J].中国医疗前沿，2013，8（23）：75-76.
|
| [6] |
万光霞，马劲松.尿道板纵切卷管尿道成形术（Snodgrass）在小儿尿道下裂的临床治疗方面的疗效分析[J].吉林医学，2017，38（4）：622-624.
|
| [7] |
范登信，张祖明，周林玉，等.尿道板纵切卷管法和加盖岛状皮瓣法尿道成形术治疗尿道下裂的比较[J].现代泌尿外科杂志，2009，14（3）：203-205.
|
| [8] |
陈毅夫，祖建成，田稳，等.尿道板纵切卷管尿道成形术和包皮内板岛状皮瓣加盖尿道成形术治疗尿道下裂的临床疗效[J].临床泌尿外科杂志，2016，（4）：364-366.
|
| [9] |
曹永胜，窦莹，蔡盈等.改良Snodrass手术一期修复小儿尿道下裂 25 例[J].临床小儿外科杂志，2008，7（3）：45-46.
|
| [10] |
胡玉林，郭灵霞.尿道板纵切卷管尿道成形术治疗尿道下裂的疗效观察[J].中外医学研究，2015，13（16）：130-131.
|
| [11] |
何军，郑为，赵夭望，等.改良尿道板纵切卷管技术在尿道下裂治疗中的临床应用[J].中华男科学杂志，2010，16（12）：1076-1078.
|
| [12] |
刘波，陈太忠，李光亮，等.改良尿道板纵切卷管尿道成型术治疗儿童尿道下裂62例[J].临床小儿外科杂志，2013，12（1）：72-73.
|
| [13] |
王新泉.尿道板纵切卷管尿道成形术治疗尿道下裂的疗效分析[J].河南医学研究，2016，25（1）：175.
|
| [14] |
董培鸿，周竹山，董尚波.改良尿道板纵切卷管尿道成形术治疗尿道下裂[J].中华临床医师杂志，2013，7（15）：7236-7237.
|
| [15] |
陈锐源，李伟坚，李志雄，等.加盖岛状皮瓣与尿道板纵切卷管尿道成形术治疗小儿尿道下裂的临床价值[J].包头医学院学报，2017，33（4）：13-14.
|
| [16] |
邓志梅.舒适护理在降低尿道下裂患儿Snodgrass术后尿瘘发生率中的作用[J].中国当代医药，2017，24（21）：177-180.
|
| [17] |
许慧萍，黎润钻，刘思思.尿道下裂患儿父母的焦虑情绪及其影响因素研究[J].中国当代医药，2016，23（22）：155-157.
|
|
|
|
