[1]杨增雷,张岗,王盛兴,等.Snodgrass和Onlay术式治疗尿道下裂的疗效评价[J].临床小儿外科杂志,2013,12(03):224-225.[doi:10.3969/j.issn.1671—6353.2013.03.019]
　YANG Zeng lei,ZHANG Gang,WANG Sheng xing,et al.Clinical evaluation of the curative effect of Snodgrass and Onlay technique in the treatment of hypospadias[J].Journal of Clinical Pediatric Surgery,2013,12(03):224-225.[doi:10.3969/j.issn.1671—6353.2013.03.019]
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Snodgrass和Onlay术式治疗尿道下裂的疗效评价

《临床小儿外科杂志》[ISSN:1671-6353/CN:43-1380/R] 卷: 第12卷 期数: 2013年03期 页码: 224-225 栏目: 临床研究 出版日期: 2013-06-28
Title:
Clinical evaluation of the curative effect of Snodgrass and Onlay technique in the treatment of hypospadias
作者:
杨增雷; 张岗; 王盛兴; 张敬悌; 葛文安; 白明
作者单位：西安市儿童医院泌尿外科（陕西省西安市，710003），Email：squid-boy@163.com
Author(s):
YANG Zenglei;  ZHANG Gang;  WANG Shengxing;  et al.
Department of urology， Xi’an Children’s Hospital， Xi’an 710003，China.
关键词:
泌尿生殖外科手术;  治疗结果
Keywords:
Urogenital Surgical Procedures;  Treatment Outcome
DOI:
10.3969/j.issn.1671—6353.2013.03.019
摘要:
目的评价和比较Snodgrass和Onlay两种术式治疗尿道下裂的临床疗效。方法对2006年11月至2012年7月施行Snodgrass和Onlay手术的140例尿道下裂患儿的临床资料进行回顾性分析。结果Snodgrass组治愈率为73.7％，尿道瘘发生率为18.4％，尿道狭窄发生率为11.8％；Onlay组治愈率为93.8％，尿道瘘发生率为6.3％，尿道狭窄发生率为1.6％。两组比较，治愈率Onlay组显著高于Snodgrass组，P<005；尿道瘘及尿道狭窄发生率Onlay组显著低于Snodgrass组，P<005。结论对背侧包皮丰富，尿道板发育良好，且不伴严重下弯的尿道下裂患儿，Onlay术式疗效优于Snodgrass术式。
Abstract:
Objetive To summarize the experience of Snodgrass and Onlay technique in the treatment of hypospadias，and to compare the curative effect between the two surgical styles．MethodsThe curative effect of 140 patients with hypospadias treated by Snodgrass or Onlay from November 2006 to July 2012 was retrospectively analyzed．ResultsIn Snodgrass group， the cure rate of patients was 73.7％，the urinary fistula rate was 18.4％， and the urethral stricture rate was 11.8％; In Onlay group， the cure rate of patients was 938％，the urinary fistula rate was 6.3％， and the urethral stricture rate was 1.6％. The cure rate of patients in Onlay group was significantly higher than that in Snodgrass group (P<005).ConclusionThe Onlay technique is more suitable than Snodgrass for the hypospadias children with rich dorsal foreskin， welldeveloped urethral plate and not associated with serious penile bend.

参考文献/References:

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更新日期/Last Update: 2013-06-30