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目的观察自制尿道引流管在尿道下裂手术中的应用效果,探讨尿道下裂术后合适的引流方法。方法2001年1月至2006年1月,应用自制尿道引流管联合Foley导尿管引流修复74例尿道下裂,其中远端型尿道下裂(阴茎头、冠状沟、阴茎前1/3)22例,中段尿道下裂(阴茎中1/3)28例,近端型尿道下裂(阴茎阴囊交界、阴囊、会阴)10例,行一期尿道重建;尿道下裂术后尿道狭窄5例,尿道下裂术后尿瘘9例,行再次手术。结果74例患者术后获随访4个月~4年,3例拔导尿管后出现尿瘘,3例术后出现尿道狭窄,其中5例均已获二期手术治愈。其余67例一期治愈,无尿瘘和尿道狭窄发生。结论尿道引流管和Foley导尿管联合经尿道引流是一种尿道下裂术后有效、可行的引流方法。
Objective To observe the application effect of homemade urethral drainage tube in hypospadias operation and to explore the appropriate drainage method after hypospadias operation. Methods From January 2001 to January 2006, 74 cases of hypospadias were repaired with homemade urethral drainage tube combined with Foley catheter drainage. Among them, distal hypospadias (penis head, coronal, penis 1/3) Cases of middle urethral hypospadias (penis 1/3) in 28 cases, proximal hypospadias (penis scrotum junction, scrotum, perineum) in 10 cases, a urethral reconstruction; hypospadia urethral stricture in 5 cases, Postoperative urethral fistula in 9 cases, line reoperation. Results 74 patients were followed up for 4 months to 4 years. Three patients had urethral fistula after catheterization and three patients had urethral stricture. Five of them were cured by the second operation. The remaining 67 cases of a cure, no urinary fistula and urethral stricture. Conclusions Urethral drainage tube and Foley catheter combined with transurethral drainage is an effective and feasible drainage method after hypospadias operation.