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目的探讨横行带蒂岛状包皮瓣(Duckett术式)一期修复重度尿道下裂的临床效果。方法分析Duckett术式一期修复重度尿道下裂患者49例的临床资料。其中,单纯Duckett术式8例,Duckett联合原位尿道板卷(Duplay)术式18例,Duckett联合带蒂阴囊皮瓣转移法(Scrotal)术式23例。结果一期修复治愈40例;并发尿瘘7例,尿道狭窄1例,尿瘘合并尿道狭窄1例。Duckett联合Duplay术式与Duckett联合Scrotal术式一期修复成功率无统计学差异(77.8%vs.82.6%)(P>0.05)。结论 Duckett术式在重度尿道下裂的临床治疗中效果显著,对于尿道缺损长的患者可联合Duplay或Scrotal术式。
Objective To investigate the clinical effect of transverse pedicle island flap (Duckett’s surgery) in repairing severe hypospadias. Methods The clinical data of 49 patients with severe hypospadias treated by Duckett’s first-stage procedure were analyzed. Among them, there were 8 cases of simple Duckett procedure, 18 cases of Duckett combined with Duplay procedure and 23 cases of Duckett combined with Scrotal procedure. Results The first phase of repair was cured in 40 cases; concurrent urinary fistula in 7 cases, urethral stricture in 1 case, urinary fistula with urethral stricture in 1 case. There was no significant difference (P> 0.05) in the success rate of first stage repair between Duckett combined with Duplay operation and Duckett combined with Scrotal procedure (77.8% vs.82.6%). Conclusions The Duckett procedure is clinically effective in the treatment of severe hypospadias and may be combined with Duplay or Scrotal surgery in patients with long urethral defects.