《中国康复理论与实践》

《中国康复理论与实践》 ›› 2005, Vol. 11 ›› Issue (09): 751-752.

• 临床研究 • 上一篇    下一篇

Duckett联合Duplay术修复重度尿道下裂

王淑芹; 雷宇; 刘宝富; 李龙   

  1. 北京大学第一医院小儿外科 北京市 100034
  • 收稿日期:2005-03-09 出版日期:2005-09-25 发布日期:2005-09-25

Repair of severe hypospadias with Duckett's and Duplay's technique

WANG Shu-qiu, LEI Yu,LU Bao-fu, et al   

  1. Department of Pediatric Surgery, Peking University First Hospital, Beijing 100034, China
  • Received:2005-03-09 Published:2005-09-25 Online:2005-09-25

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摘要： 目的评价Duckett联合DuPlay术式修复重度尿道下裂的疗效。方法重度尿道下裂患儿70例,一次成型尿道,远端用Duckett岛状皮瓣缝合皮管,近端采用尿道口附近阴囊皮肤做DuPlay成型尿道,与Duckett管相吻合。对其中28例术后随访0.5～3年。结果70例手术中,一次手术成功65例,并发症尿瘘3例,尿道狭窄伴憩室2例。所有患儿术后阴茎外观正常,排尿成线,与既往采用阴囊带蒂岛状皮瓣治疗重度尿道下裂54例中治愈40例(74%)相比较,有显著性差异(P<0.05)。结论Duckett联合DuPlay术式对修复重度尿道下裂效果良好,外形满意,并发症发生率低,除发生合并症外,不需Ⅱ期手术。

关键词: 尿道下裂, 尿道成形术, 功能重建

Abstract: ObjectiveTo assess the effect of Duckett and Duplay technique on repairing severe hypospadias.Methods70 cases with severe hypospadias accepted urethraplasty with a penile and scrotal skin tube by Duckett's and Duplay's technique. ResultsThe hypospadias of 65 cases were successfully repaired in one stage, 3 cases complicated urethral fistula,2 caese complicated urethral stenosis with urethral diverticulum, which was significantly improved compared with the scrotal cutaneous island flap techniques(P<0.05). ConclusionDuckett's and Duplay's techniques is a good method in the treatment of severe hypospadias with little complication.

Key words: hypospadias, urethraplasty, functional reconstruction