摘要
目的探讨加强连续内翻缝合法与简单连续内翻缝合法对尿道下裂术后尿瘘修复的疗效。方法回顾性分析60例尿道下裂术后尿瘘修复术患者的临床资料,60例患者根据手术方式分为连续内翻缝合法(连续内翻组32例)和加强连续内翻缝合法(加强连续内翻组28例)。结果加强连续内翻缝合法手术成功率为85.7%,显著高于连续内翻缝合法的53.1%(P<0.05);28例加强连续内翻缝合的尿道下裂术后尿瘘患者中,瘘口小于4 mm的患者12例,手术成功10例,成功率为83.3%;瘘口大于4 mm的患者16例,手术成功14例,成功率为87.5%,两组瘘口大小与手术成功率无统计学差异(P>0.05)。结论加强连续内翻缝合法手术操作较简单,成功率高,值得临床推广应用。
Objective To investigate the clinical effect of continuous inverting suture and strengthen continuous inverting suture in treatment of urinary fistula post hypospadias operation.Methods Totally 60 patients with urinary fistula post hypospadias operation were analyzed retrospectively,which were treated with continuous inverting suture group（32 cases） and strengthen continuous inverting suture group（28 cases）.Results The surgical success rate of strengthen continuous inverting suture group was 85.7%,significantly higher than that of continuous inverting suture group（P0.05）.There was 12 cases fistula less than 4 mm in 28 cases of strengthen continuous inverting suture group,10 cases was successful（83.3%）.Fistula greater than or equal 4 mm was 16 cases,14 cases were successful（87.5%）.There was no significant difference（P0.05） between large and little fistula.Conclusion Strengthen continuous inverting suture is a simple,high successful rate method,and could be popularized applied.
出处
《局解手术学杂志》
2010年第3期192-193,共2页
Journal of Regional Anatomy and Operative Surgery
关键词
尿道下裂
尿瘘
手术方法
hypospadias
urinary fistula
surgical methods
作者简介
高雪松（1970-），男，安徽省凤台县人，硕士，主要从事泌尿系肿瘤及尿道下裂的诊治方面的研究。电话：（010）68780227．E-mail：gxs227@tom．com
