尿道下裂管切开钢板修补术后龟头开裂的危险因素分析

Q4 Medicine

中华小儿外科杂志 Pub Date : 2019-11-15 DOI:10.3760/CMA.J.ISSN.0253-3006.2019.11.002

Wei Liu, Xiangyu Wu, Xiaoqing Wang

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引用次数: 0

摘要

目的探讨小儿尿道下裂TIP修复术后龟头开裂的危险因素。方法回顾性研究包括2017年11月至2018年9月连续77例尿道下裂患儿行TIP修复术。随访6 ~ 15个月。收集的相关临床资料包括年龄、龟头宽度、切开前尿道板宽度、尿道长度、道口与冠的距离、导尿管类型及是否背侧延伸。采用独立t检验、卡方检验和logistic回归评价龟头破裂的危险因素。结果10例(13.0%)患者发生龟头破裂。我们的研究结果表明，龟头破裂组与非龟头破裂组在龟头宽度、龟头与冠之间的距离和导管类型方面存在显著相关性(无论年龄大小，龟头与冠之间的距离均为4.5 mm, 6Fr导管有助于减少龟头破裂的发生。关键词:尿道下裂;术后并发症;格兰裂开

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Risk factors of glan dehiscence after tubularized incised plate urethroplasty hypospadias repair

Objective To explore the risk factors of glan dehiscence after TIP repairing in hypospadias children. Methods This retrospective study involved 77 consecutive hypospadias children undergoing TIP repair from November 2017 to September 2018.All patients were followed up for 6-15 months.The relevant clinical data collected included age, glan width, urethral plate width pre-incision, neourethra length, distance between meatus and corona, type of catheter and whether dorsal plication or not.Independent t test, chi-square test and logistic regression were performed for evaluating the risk factors of glan dehiscence. Results Glan dehiscence occurred in 10 (13.0%) patients.Our result indicated significant associations existed between group with glan dehiscence and group without glan dehiscence with respects to glan width, distance between meatus and corona and type of catheter (all P<0.05). Conclusions Glan dehiscence is the most common complication after TIP hypospadias repair.Glan width, distance between meatus and corona and type of catheter were obviously correlated with the development of glan dehiscence.A more extensive glans mobilization with >4.5 mm distance between meatus and corona and 6Fr catheter regardless of age helps to minimize the occurrence of glan dehiscence. Key words: Hypospadias; Postoperative complications; Glan dehiscence

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来源期刊

中华小儿外科杂志 Medicine-Pediatrics, Perinatology and Child Health

CiteScore

0.40

自引率

0.00%

发文量

8707

期刊介绍： Chinese Journal of Pediatric Surgery is an academic journal sponsored by the Chinese Medical Association. It mainly publishes original research papers, reviews and comments in this field. The journal was founded in 1980 and is included in well-known databases such as Peking University Journal (Chinese Journal of Humanities and Social Sciences) and CSCD Chinese Science Citation Database Source Journal (including extended version). It is one of the national key academic journals under the supervision of the China Association for Science and Technology. Chinese Journal of Pediatric Surgery enjoys a high reputation and influence in the academic community. The articles published in this journal have a high academic level and practical value, providing readers with a large number of practical cases and industry information, and have received widespread attention and citations from readers.