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find Keyword "尿道板纵切卷管尿道成形术" 2 results
  • 尿道板纵切卷管尿道成形术治疗尿道下裂的护理

    【摘要】 目的 总结尿道板纵切卷管尿道成形术治疗尿道下裂围手术期的护理方法,提高护理质量。 方法 对2009年1-12月收治的64例患者采用尿道板纵切卷管尿道成形术治疗尿道下裂,对其临床及围手术期的护理进行回顾性分析。患者年龄11个月~31岁,中位年龄5岁。尿道下裂分型:Ⅰ型11例,Ⅱ型53例;均伴不同程度阴茎下曲。 结果 经手术治疗及术前、术后有效护理,64例患者阴茎下曲均已矫正,围手术期平稳,切口愈合。尿道口位于龟头正位,包皮分布均匀,能站立排尿。 结论 良好的护理对策可减少尿道成形术后并发症的发生率,促进患儿身心健康的恢复。

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  • TUBULARIZED INCISED PLATE URETHROPLASTY FOR HYPOSPADIAS IN CHILDREN

    Objective To present the experience of hypospadias repair using the tubularized incised plate urethroplasty (Snodgrass procedure). Methods FromMay 2001 to November 2004, 82 patients with hypospadias underwent the Snodgrassprocedure and the clinical data were analysed retrospectively. The mean age was5 years (1.5 to 16 years). These cases were divided into: the earlier stage group(34 cases) and the later stage group (48 cases); the proximal group (19 cases)and the distal and middle group (63 cases); the primary operational group (49 cases) and the reoperational group (33 cases). Results Fistulas ocurred in 12 patients (14.6%), complete glans dehiscednce in 1 case. Fistula were as follows: 11 cases in the earlier stage group (32.4%) and 1 case in the later stage group(2.1%);2 cases in the proximal group (10.5%) and 10 cases in the group of distal and middle group (15.9%); 8 cases in the primary operational group (16.1%) and 4 cases in the reoperational group (12.1%). There was statistically significant difference in the incidence of fistula between the earlier stage group and the later stage group (Plt;0.01). There was no statistically significant difference between the proximal group and the distal and middle group, between the primary operational group and the reoperational group (Pgt;0.05). All patients were followed up more than one month. The neo meatus was innormal position. The results of penile cosmetic and urethral function were satisfactory. Of these cases, 15 were followed up 1.5-6.0 months. The average flow rate was 7.8 ml/s(6.8-10.5 ml/s). The mean of maximum flow rate was 10.5 ml/s (8.8-14.5 ml/s).Conclusion Excellent neourethrol functional and superior casmetic resalts with low rate of complication can be gained by using tubularized incised plate urethroplasty for the cases of hypospadias without chordee or with mild chordee. But the preputialflap procedure should be chosen in condition that the hypospadias was association with obvious chordee.

    Release date:2016-09-01 09:25 Export PDF Favorites Scan
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