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目的通过对尿道下裂手术的改进,进一步完善尿道下裂手术的技巧和护理。方法A组50例尿道下裂Ⅰ期成形术中,采用皮下连续内翻缝合形成新尿道,且固定于阴茎海绵体,由阴茎根部自下而上多层次,多点缝合皮瓣皮下组织至阴茎海绵体上,均无间隙和死腔。B组48例采用常规手术方式作对照。结果A组50例尿道下裂Ⅰ期成形术成功44例,B组48例成功17例,A组与B组相比成功率显著提高(P＜0．05)。结论尿道下裂Ⅰ期成形术成功率关键在于术者对术式掌握的熟练程度和术中及术后对每个细节的认真处理。
Objective Through the improvement of hypospadias surgery, and to further improve the skill and care of hypospadias surgery. Methods A group of 50 cases of hypospadia during stage I plasty, the use of subcutaneous continuous varus suture to form a new urethra, and fixed in the penis, from the bottom of the penis multi-level, multi-point suture flap subcutaneous tissue to the penis Sponge, no gap and dead space. 48 cases in group B received routine operation as control. Results A group of 50 cases of hypospadia in 44 cases of successful stage Ⅰ, 48 cases of group B, 17 cases of success, A group and B group compared to the success rate was significantly increased (P <0.05). Conclusions The key to the success rate of hypospadias Ⅰ plasty lies in the skill of the surgeon in surgical operation and careful treatment of every detail during and after operation.