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目的探讨两种皮肤缝合技术在尿道下裂术中的临床效果观察。方法对21例尿道下裂患者采用间断皮肤全层缝合法和间断皮肤真皮层缝合法在尿道下裂术中的应用。对两组患者的缝合时间(包括对皮时间),术后出现尿瘘的情况,术后感染的情况进行对比。结果A组(使用间断皮肤全层缝合法)缝合时间平均为35min,术后出现尿瘘的情况6/11,术后感染的情况为4/11;B组(使用间断皮肤真皮层缝合法)缝合时间平均为20min,术后出现尿瘘的情况2/10,术后感染的情况为1/10。结论间断真皮层缝合法既方便又有效,在临床推广使用。
Objective To investigate the clinical effects of two kinds of skin suture techniques in hypospadias. Methods Twenty-one patients with hypospadias were treated with full-thickness interrupted suturing and intermittent dermal suture in hypospadias. The two groups of patients suture time (including skin time), postoperative urinary fistula, postoperative infection were compared. Results In group A, the average time of suturing was 35min, the postoperative fistula was 6/11 and the postoperative infection was 4/11. In group B (using intermittent dermal dermal suture) The average time was 20min, postoperative urinary fistula 2/10, postoperative infection was 1/10. Conclusion Interrupted dermal suture method is convenient and effective, and is widely used in clinical practice.