远端尿道成形术和龟头成形术：512例修复手术的结果
Distal urethroplasty and glanuloplasty procedure: results of 512 repairs.
作者信息
Stock J A, Hanna M K
机构信息
Department of Surgery, University of Medicine and Dentistry of New Jersey, New Jersey Medical School, Newark, USA.
出版信息
Urology. 1997 Mar;49(3):449-51. doi: 10.1016/S0090-4295(96)00441-4.
OBJECTIVES
We describe the distal urethroplasty and glanuloplasty (DUG) procedure, a modification of the Thiersch-Duplay method, and report indications, outcomes, and complications.
METHODS
In all, 512 children with glanular, coronal, or subcoronal hypospadias variants underwent the DUG procedure.
RESULTS
Follow-up demonstrated excellent functional performance and cosmetic appearance. Complications included 5 fistulae, 2 meatal stenoses, and 4 distal breakdowns of the distal neourethra. The incidence of complications requiring secondary procedures was 2.1% for the entire group.
CONCLUSIONS
The DUG repair has allowed us to repair virtually all distal hypospadias variants using the Thiersch-Duplay method. The combined use of the Heineke-Mikulicz meatoplasty in patients with a stenotic meatus and the glanuloplasty as described by Zaontz has allowed the DUG repair to achieve excellent cosmetic and functional results.
目的
我们描述了远端尿道成形术和龟头成形术（DUG），这是对蒂尔施 - 杜普莱方法的一种改良，并报告其适应症、结果和并发症。
方法
共有512例患有龟头型、冠状沟型或冠状沟下型尿道下裂变异的儿童接受了DUG手术。
结果
随访显示功能表现和外观极佳。并发症包括5例瘘管、2例尿道口狭窄和4例新尿道远端破裂。整个组中需要二次手术的并发症发生率为2.1%。
结论
DUG修复术使我们能够使用蒂尔施 - 杜普莱方法修复几乎所有远端尿道下裂变异。对于尿道口狭窄的患者联合使用海涅克 - 米库利茨尿道口成形术以及赞茨所描述的龟头成形术，使得DUG修复术取得了极佳的美容和功能效果。
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