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目的评价Snodgrass手术方法在治疗尿道下裂中的效果。方法复习2001年12月至2003年9月19例尿道下裂患者行Snodgrass尿道成形术(尿道板纵切卷管尿道成形术)资料。其中再手术者5例。5例在术中行白膜纵切折叠术纠正阴茎下弯。拔管后根据排尿情况,选择行前尿道扩张。结果19例患者中,3例术后出现冠状沟处尿道瘘(其中1例尿瘘于感染后出现),2例尿扩后自行愈合。随访中,10例拔管后2周内出现尿道口狭窄,经尿道口扩张后均缓解。结论Snodgrass尿道成形术操作简便,手术成功率高,整形效果满意,可以作为治疗尿道下裂首选术式,并适合再次手术的病例。
Objective To evaluate the effect of Snodgrass procedure in the treatment of hypospadias. Methods From December 2001 to September 2003, 19 patients with hypospadias underwent Snodgrass urethroplasty (Urethral plasty urethroplasty). Among them re-operation in 5 cases. 5 cases underwent surgery in the longitudinal plasty of the penis to correct penile curvature. Extubation according to urination, select the antegrade urethral dilatation. Results Of the 19 patients, 3 cases had urethral fistula at the coronary sulcus (one case of urinary fistula occurred after infection) and 2 cases of self-healing after urinary expansion. During the follow-up, urethral stenosis occurred in 10 cases within 2 weeks after extubation, and all of them were relieved after dilatation of urethra. Conclusion Snodgrass urethroplasty is simple and easy to operate, the success rate of operation is high, and the plastic effect is satisfied. It can be used as the preferred surgical method to treat hypospadias and is suitable for the cases of reoperation.