ISSN 1674-3865  CN 21-1569/R
主管：国家卫生健康委员会
主办：中国医师协会
　　　辽宁省基础医学研究所
　　　辽宁中医药大学附属医院
中国中西医结合儿科学

中国中西医结合儿科学 ›› 2017, Vol. 9 ›› Issue (3): 228-230.doi: 10.3969/j.issn.1674-3865.2017.03.014

• 临床研究 • 上一篇    下一篇

年龄对尿道下裂Duckett术后尿瘘发生的影响

尹智峰，何军，郑为，雍江   

  1. 410007 长沙，湖南省儿童医院泌尿外科
  • 出版日期:2017-06-25 发布日期:2017-12-08
  • 通讯作者: 何军，E-mail：214580830@qq.com
  • 作者简介:尹智峰（1980-），男，医学硕士，主治医师。研究方向：泌尿系肿瘤及畸形的诊治

Influence of age on the incidence of urinary fistula after hypospadias Duckett

YIN Zhifeng，HE Jun，ZHENG Wei，YONG Jiang   

  1. Department of Urology, Hunan Children's Hospital，Changsha 410007，China
  • Online:2017-06-25 Published:2017-12-08

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112

摘要：
目的
探讨年龄对尿道下裂Duckett术后尿瘘发生的影响。
方法
2013年5月30日至2016年11月30日湖南省儿童医院泌尿外科收治行尿道下裂Duckett术的患儿68例作为研究对象，观察不同年龄段Duckett术后患儿尿道缺失长度及不同年龄段Duckett术后患儿尿瘘发生率。
结果
不同年龄段Duckett术后患儿尿道缺失长度比较，差异无统计学意义（P>0.05）。＞6岁患儿尿瘘发生率为41.67%（10/24），显著高于1～3岁4.55%（1/22）和>3～6岁4.55%（1/22），差异有统计学意义（P<0.017）。
结论
年龄对尿道下裂Duckett术后尿瘘发生具有一定的影响，其随着年龄的增加，表现越为明显。因此，需要针对不同年龄患儿建立术后尿瘘治疗方案，从而降低尿道下裂Duckett术后尿瘘的发生率，优化治疗效果，提高患儿生活质量。

关键词: 尿瘘, 尿道下裂Duckett术, 发生率, 年龄, 儿童

Abstract:
Objective
To investigate the effect of age on the incidence of urinary fistula after hypospadias Duckett.
Methods
A total 68 children were included of as the study subjects, who were admitted to the urinary. Surgery Department of Hunan Children's Hospital and received hypospadias Duckett from May 30,2013 to Nov. 30,2016.Observe the length of urethral absence and the incidence of urinary fistula in these children of different ages.
Results
Comparing the length of urethral absence among the children of different ages, there was no statistical difference(P>0.05). The incidence rate of urinary fistula in children under 6 years was 41.67%(10/24), which was significantly higher than that in children between 1 to 3 years(4.55%,1/22) and between 3 to 6 years(4.55%，1/22),the difference being statistical significance(P<0.017).
Conclusion
Age has some influence on urinary fistula after hypospadias Duckett, and the influence is greater with the increase of age. Therefore, the treatment for the fistula should be based on different ages in order to reduce the incidence rate, which will result in better treatment effects and improvement of these children's life quality.

Key words: Urinary fistula, Hypospadias Duckett, Incidence rate, Age, Child