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目的评价改良包皮岛瓣尿道成形手术的应用价值。方法回顾性分析35例小儿尿道下裂患儿应用改良包皮岛瓣尿道成形手术治疗的临床资料。结果 35例小儿尿道下裂患儿均顺利完成手术,平均手术时间为(68±16)min,术后平均住院时间为(10±2)d。术后随访6个月,2例分别于术后7、10 d出现尿瘘,术后6个月经手术治愈;1例于术后2周出现尿道外口狭窄,经急诊全麻行尿道扩张排尿通畅。结论应用改良包皮岛瓣尿道成形手术治疗小儿尿道下裂是安全有效的。
Objective To evaluate the value of modified foreskin flap urethroplasty. Methods The clinical data of 35 cases of children with hypospadias treated by modified preputial island flap urethroplasty were retrospectively analyzed. Results All the 35 pediatric patients with hypospadias had a successful operation. The mean operation time was (68 ± 16) min and the average postoperative hospital stay was (10 ± 2) days. The patients were followed up for 6 months. Urinary fistulas were found in 2 cases at 7 and 10 days after operation, and were cured by surgery 6 months after operation. One case had urethral stenosis at 2 weeks after operation, . Conclusion It is safe and effective to use modified preputial island urethroplasty to treat pediatric hypospadias.