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微创泌尿外科杂志  2015, Vol. 4 Issue (1): 51-53    
  论著 本期目录 | 过刊浏览 | 高级检索 |
尿道下裂术后包扎拆除时机的探讨
顾绍栋,罗洪,强红家
连云港市第一人民医院小儿外科 222002 江苏连云港
Optimal timing of demolition of postoperative hypospadias dressings
Gu Shaodong, Luo Hong, Qiang Hongjia
Department of Pediatric Surgery, Lianyungang First People's Hospital, Lianyungang222100, China
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摘要 目的:探讨尿道下裂术后包扎的最佳拆除时机。方法:将2008年9月~2014年6月收治的需要行尿道延长的会阴型尿道下裂80例,术后采用相同材料、方法进行阴茎体的包扎,按手术后拆除包扎时间随机分为A组(2 d,40例)和B组(5 d,40例),回顾性分析两组患儿术后常见并发症的发生率,统计学分析P<0.05视为有差异有统计学意义。结果:A组40例患儿术后11例尿道瘘,发生率27.5%,B组40例患儿26例发生尿道瘘,发生率65%,差异有统计学意义(P<0.05);A组6例出现去除包扎敷料后出血,发生率15%,B组2例术后出血,发生率5%,差异无统计学意义(P>0.05)。结论:早期拆除尿道下裂术后包扎,可以降低术后尿道瘘的发生率。
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顾绍栋
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关键词 尿道下裂术后包扎尿道瘘    
AbstractObjective: To explore the optimal timing of demolition of postoperative hypospadias dressings. Methods: From September 2008 to February 2014, a total of 80 cases of hypospadias were randomly divided into 2 groups: group A (2 days, n=40) dressing for 2 days, and group B (5 days,n=40) dressing for 5 days, using the same materials, and bandaging method for dressing. The incidence of postoperative complications in the two groups was retrospectively analyzed. Statistical significance was considered at P<0.05. Results: The postoperative urethral fistula incidence in group A and group B was 27.5% (11 cases) and 65% (26 cases) respectively, with the difference being statistically significant (P<0.05). Bleeding occurred in 6 cases in group A, and 2 cases in group B (P>0.05). Conclusions: Postoperative hypospadias dressings should be removed early, which can reduce the incidence of urethral fistula.
Key wordshypospadias postoperation    dressing    urethral fistula
收稿日期: 2014-12-23     
ZTFLH:  R691.1  
通讯作者: 罗洪     E-mail: 240799331@qq.com
引用本文:   
顾绍栋,罗洪,强红家. 尿道下裂术后包扎拆除时机的探讨[J]. 微创泌尿外科杂志, 2015, 4(1): 51-53.
Gu Shaodong, Luo Hong, Qiang Hongjia. Optimal timing of demolition of postoperative hypospadias dressings. JOURNAL OF MINIMALLY INVASIVE UROLOGY, 2015, 4(1): 51-53.
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