改良Snodgrasss术治疗24例尿道下裂伴小阴茎头畸形
摘要
<正>尿道下裂是泌尿外科最常见的生殖系统先天畸形之一,手术为唯一的治疗方法;术后可能出现尿道瘘、尿道狭窄等并发症,阴茎头畸形导致外观满意度差[1]。对于合并小阴茎头畸形的患儿手术难度增加,文献报道约30%的尿道下裂患儿合并小阴茎头畸形[2-3],行阴茎头成形难度较大,术后容易发生阴茎头裂开、阴茎头或冠状沟尿道瘘、阴茎头锥型外观等并发症。本文对2014年1月至2017年7月收治
引文
[1] BhatA, Sabharwal K, Bhat M, et al. Outcome of tubularized incised plate urethroplasty with spongioplasty alone as additional tissue cover: A prospective study. Indian J Urol, 2014, 30(4): 392-397.
[2] Zhang WP. Controversial and troublesome issues of surgical approaches for hypospadias. J Clin Ped Sur, 2016, 15 (5): 417-419.
[3] 徐秀娟, 陈怒柱, 吴旻, 等. 保留尿道板尿道下裂修复术后并发症危险因素分析. 中华男科学杂志, 2017, 23(4): 347-352.
[4] Jia W, Liu GC, Zhang LY, et al. Comparison of tubularized incised plate urethroplasty combined with a meatus-based ventral dartos flap or dorsal dartos flap in hypospadias. Pediatr Surg Int, 2016, 32(4): 411-415.
[5] Babu R, Hariharasudhan S. Tunicavaginalis flap is superior to inner preputial dartos flap as a waterproofing layer for primary TIP repair in midshaft hypospadias. J Pediatr Urol, 2013, 9(6 Pt A): 804-807.
[6] Bush NC, Dajusta D, Snodgrass WT. Glans enis width in patients with hypospadias compared to healthy controls. J Pediatr Urol, 2013, 9(6): 1188-1191.
[7] 谢林海, 杨军, 习娅琦, 等. 尿道板镶嵌及尿道海绵体成形在TIP尿道下裂修复中的应用. 中国美容整形外科杂志, 2018, 29(1): 48-51.
[8] 郭立华, 郝春生, 牛志尚, 等. 小阴茎畸形伴尿道下裂的临床研究. 中华泌尿外科杂志, 2017, 38(11): 866-869.
[9] 罗意革, 董淳强, 杨体泉, 等. 尿道下裂分期修复的价值. 中华实用儿科临床杂志, 2013, 28(5): 390-394.
[10] 宋非无, 李笃妙, 许雅丽, 等. 改良Snodgrass术治疗尿道下裂的临床研究. 中华男科学杂志, 2017, 23(10): 908-911.
[11] 刘毅东, 庄利恺, 叶惟靖, 等. 镶嵌式包皮内板尿道成形术治疗尿道下裂临床分析. 中华小儿外科杂志, 2015, 36(3): 178-181.
[12] Shaker H, Ezzat M. Glanuloplasty by ventral skin interposition in hypospadias repair: Preliminary report. World J Urol, 2009, 27(5): 673-677.
[13] Bush NC, Villanueva C, Snodgrass W. Glans size is an inde-pendent risk factor for urethroplasty complications after hypospadias repair. J Pediatr Urol, 2015, 11(6): 355, e1-5.
[14] 陈月娇, 郑杰文, 王学军, 等. 三种保留尿道板手术在轻中型尿道下裂矫治中的应用. 临床小儿外科杂志, 2016, 15(5): 436-438.
[15] 吴宣林, 张宪生, 徐泉, 等. 尿道下裂修复术中的龟头塑形. 中国美容医学, 2006, 15(7): 794-796.
[16] Snodgrass W, Bush N. Recent advances in understanding/management of hypospadias. F1000 Prime Rep, 2014, 6: 101.
[2] Zhang WP. Controversial and troublesome issues of surgical approaches for hypospadias. J Clin Ped Sur, 2016, 15 (5): 417-419.
[3] 徐秀娟, 陈怒柱, 吴旻, 等. 保留尿道板尿道下裂修复术后并发症危险因素分析. 中华男科学杂志, 2017, 23(4): 347-352.
[4] Jia W, Liu GC, Zhang LY, et al. Comparison of tubularized incised plate urethroplasty combined with a meatus-based ventral dartos flap or dorsal dartos flap in hypospadias. Pediatr Surg Int, 2016, 32(4): 411-415.
[5] Babu R, Hariharasudhan S. Tunicavaginalis flap is superior to inner preputial dartos flap as a waterproofing layer for primary TIP repair in midshaft hypospadias. J Pediatr Urol, 2013, 9(6 Pt A): 804-807.
[6] Bush NC, Dajusta D, Snodgrass WT. Glans enis width in patients with hypospadias compared to healthy controls. J Pediatr Urol, 2013, 9(6): 1188-1191.
[7] 谢林海, 杨军, 习娅琦, 等. 尿道板镶嵌及尿道海绵体成形在TIP尿道下裂修复中的应用. 中国美容整形外科杂志, 2018, 29(1): 48-51.
[8] 郭立华, 郝春生, 牛志尚, 等. 小阴茎畸形伴尿道下裂的临床研究. 中华泌尿外科杂志, 2017, 38(11): 866-869.
[9] 罗意革, 董淳强, 杨体泉, 等. 尿道下裂分期修复的价值. 中华实用儿科临床杂志, 2013, 28(5): 390-394.
[10] 宋非无, 李笃妙, 许雅丽, 等. 改良Snodgrass术治疗尿道下裂的临床研究. 中华男科学杂志, 2017, 23(10): 908-911.
[11] 刘毅东, 庄利恺, 叶惟靖, 等. 镶嵌式包皮内板尿道成形术治疗尿道下裂临床分析. 中华小儿外科杂志, 2015, 36(3): 178-181.
[12] Shaker H, Ezzat M. Glanuloplasty by ventral skin interposition in hypospadias repair: Preliminary report. World J Urol, 2009, 27(5): 673-677.
[13] Bush NC, Villanueva C, Snodgrass W. Glans size is an inde-pendent risk factor for urethroplasty complications after hypospadias repair. J Pediatr Urol, 2015, 11(6): 355, e1-5.
[14] 陈月娇, 郑杰文, 王学军, 等. 三种保留尿道板手术在轻中型尿道下裂矫治中的应用. 临床小儿外科杂志, 2016, 15(5): 436-438.
[15] 吴宣林, 张宪生, 徐泉, 等. 尿道下裂修复术中的龟头塑形. 中国美容医学, 2006, 15(7): 794-796.
[16] Snodgrass W, Bush N. Recent advances in understanding/management of hypospadias. F1000 Prime Rep, 2014, 6: 101.