[用于尿道下裂的Snodgrass技术、Duckett修复术及膀胱黏膜移植术：251例分析]

[Snodgrass technique, Duckett repair and bladder mucosa grafting for hypospadias: an analysis of 251 cases].

作者信息

Ma Li-Min, Jiang Hua, Zhou Juan, Da Jun, Cai Zhi-Kang, Wang Zhong

机构信息

Department of Urology, The Ninth People's Hospital, Shanghai Jiaotong University School of Medicine, Shanghai 200011, China.

出版信息

Zhonghua Nan Ke Xue. 2009 Dec;15(12):1068-71.

PMID:20180414

Abstract

OBJECTIVE

To present the experience in using the Snodgrass technique, Duckett repair and bladder mucosa grafting for hypospadias.

METHODS

We retrospectively reviewed 251 cases of middle and posterior hypospadias treated by the Snodgrass technique, Duckett repair and bladder mucosa grafting from February 1997 to December 2008.

RESULTS

The success rates of the Snodgrass technique, Duckett repair and bladder mucosa grafting were 80.3% (53/66) , 76% (19/25) and 78.9% (15/19) for middle hypospadias and 68. 3% (41/60) , 63.6% (14/22) and 88. 1% (52/59) for the posterior type without statistical significant differences (all P > 0.05). Bladder mucosa grafting showed a significantly higher success rate than the other two procedures in either one-stage or two-stage surgical repair of posterior hypospadias (P < 0.05). Duckett repair achieved a significantly higher rate of success in children under 14 years than in the older ones (P < 0.05).

CONCLUSION

Of the three surgical options, bladder mucosa grafting is the most suitable for posterior hypospadias, and Duckett repair is recommended for children under 14 years of age.

摘要

目的

介绍应用Snodgrass技术、Duckett修复术及膀胱黏膜移植术治疗尿道下裂的经验。

方法

回顾性分析1997年2月至2008年12月采用Snodgrass技术、Duckett修复术及膀胱黏膜移植术治疗的251例中后型尿道下裂患者的临床资料。

结果

Snodgrass技术、Duckett修复术及膀胱黏膜移植术治疗中型尿道下裂的成功率分别为80.3%（53/66）、76%（19/25）和78.9%（15/19），治疗后型尿道下裂的成功率分别为68.3%（41/60）、63.6%（14/22）和88.1%（52/59），差异均无统计学意义（均P>0.05）。在一期或二期手术修复后型尿道下裂时，膀胱黏膜移植术的成功率显著高于其他两种手术方法（P<0.05）。Duckett修复术在14岁以下儿童中的成功率显著高于年龄较大的儿童（P<0.05）。