阴茎肉膜瓣对尿道下裂修复并发症发生率的影响：一项随机前瞻性研究。
The effect of dorsal dartos flaps on complication rates in hypospadias repair: a randomised prospective study.
作者信息
Thomas David Terence, Karadeniz Cerit Kivilcim, Yener Sevim, Kandirici Aliye, Dagli Tolga E, Tugtepe Halil
机构信息
Department of Pediatric Surgery, Marmara University School of Medicine, Istanbul, Turkey.
Division of Pediatric Urology, Department of Pediatric Surgery, Marmara University School of Medicine, Istanbul, Turkey.
出版信息
J Pediatr Urol. 2015 Feb;11(1):23.e1-4. doi: 10.1016/j.jpurol.2014.07.010. Epub 2014 Aug 27.
AIM
This study prospectively analysed the effect of using a dartos flap on the complication rates of TIPU (tubularised incised plate urethroplasty) in hypospadias repair.
MATERIAL AND METHODS
Patients having TIPU repair for hypospadias at our university hospital between January 2010 and August 2013 were prospectively divided into two groups. Group 1 had TIPU repair with dorsal dartos flap, whereas group 2 had flapless repair. At the end of the follow-up period (mean 23.3 m, median 20.2), complication rates were compared between two groups.
RESULTS
There were 107 patients in each group. The overall complication rate was 9.3%. The complication rates were 12.1% in group 1 (6 glans dehiscence and 7 fistula) and 6.5% in group 2 (2 glans dehiscence and 5 fistula). The differences between complication rates and fistula were statistically insignificant (p = 0.2511 and p = 0.7710, respectively).
CONCLUSION
Our prospective and randomised study found that the use of dartos flaps in hypospadias offers no statistically significant advantage over flapless repair for complication rates.
目的
本研究前瞻性分析了肉膜瓣在尿道下裂修复术中对管状切开板尿道成形术（TIPU）并发症发生率的影响。
材料与方法
2010年1月至2013年8月在我校附属医院接受TIPU修复尿道下裂的患者被前瞻性地分为两组。第1组采用背侧肉膜瓣进行TIPU修复，而第2组采用无瓣修复。在随访期结束时（平均23.3个月，中位数20.2个月），比较两组的并发症发生率。
结果
每组有107例患者。总体并发症发生率为9.3%。第1组的并发症发生率为12.1%（6例龟头裂开和7例瘘管），第2组为6.5%（2例龟头裂开和5例瘘管）。并发症发生率和瘘管发生率之间的差异无统计学意义（分别为p = 0.2511和p = 0.7710）。
结论
我们的前瞻性随机研究发现，在尿道下裂修复中使用肉膜瓣在并发症发生率方面与无瓣修复相比没有统计学上的显著优势。
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