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目的:探讨尿道下裂术后包扎的最佳拆除时机。方法:将2008年9月~2014年6月收治的需要行尿道延长的会阴型尿道下裂80例,术后采用相同材料、方法进行阴茎体的包扎,按手术后拆除包扎时间随机分为A组(2 d,40例)和B组(5 d,40例),回顾性分析两组患儿术后常见并发症的发生率,统计学分析P<0.05视为有差异有统计学意义。结果:A组40例患儿术后1 1例尿道瘘,发生率27.5%,B组40例患儿26例发生尿道瘘,发生率65%,差异有统计学意义(P<0.05);A组6例出现去除包扎敷料后出血,发生率15%,B组2例术后出血,发生率5%,差异无统计学意义(P>0.05)。结论:早期拆除尿道下裂术后包扎,可以降低术后尿道瘘的发生率。
Objective: To explore the best time to remove bandaging after hypospadias surgery. Methods: From September 2008 to June 2014, 80 cases of perineal hypospadias requiring urethral extension were treated. The same material and method were used to dress the penis. After the operation, the patients were randomly divided into A (2 d, 40 cases) and group B (5 d, 40 cases) were retrospectively analyzed. The incidence of postoperative complications in both groups was retrospectively analyzed. Statistical analysis of P <0.05 was considered statistically significant. Results: The incidence of urethral fistula was 40% in group A, the incidence rate was 27.5% in 40 cases. The incidence of urethral fistula was 26% in 40 cases in group B. The difference was statistically significant (P <0.05). A Bleeding occurred in 6 cases (15%) after removal of bandaging dressing, and 2 cases in group B (5%) after operation. The difference was not statistically significant (P> 0.05). Conclusion: Early removal of hypospadias postoperative bandaging, can reduce the incidence of postoperative urethral fistula.