本文選題：尿道下裂 + 陰莖下彎　； 參考：《重慶醫(yī)科大學(xué)》2013年碩士論文

【摘要】：目的：探討尿道下裂合并的陰莖下彎的彎曲與年齡的關(guān)系，認(rèn)識尿道下裂合并陰莖下彎的形成機(jī)制，為矯正彎曲的手術(shù)方式選擇提供一定的依據(jù)。 方法：選取2103例尿道下裂合并陰莖下彎患兒，按年齡分為三組（0-3歲、3-7歲、7歲），分析各型尿道下裂是否合并下彎與年齡、異位尿道開口位置的相關(guān)性。其中有完整記錄陰莖下彎程度資料的陰莖根型尿道下裂130例，按年齡分為嬰幼兒組（0-3歲）、學(xué)齡前組（3-7歲）、學(xué)齡組（7-10歲），分析陰莖下彎的彎曲程度與年齡之間的相關(guān)性。 結(jié)果：①2103例尿道下裂有813例（38.66%）合并陰莖下彎。②尿道下裂是否合并陰莖下彎與年齡間無明顯相關(guān)性（P0.05）。③異位尿道開口位置越靠近端，合并陰莖下彎的比例越高（P0.01）。④隨年齡增長，患兒陰莖下彎逐漸加重（P0.05）。 結(jié)論：①同遠(yuǎn)端型尿道下裂相比，近端型尿道下裂腹側(cè)組織缺失更多，更易合并陰莖下彎。②隨著生長發(fā)育，，導(dǎo)致陰莖下彎的組織病理學(xué)因素仍可能繼續(xù)加重下彎發(fā)生，因此，矯形術(shù)中應(yīng)充分解除其真性病理因素，以避免殘存的陰莖下彎組織病理學(xué)因素引起下彎復(fù)發(fā)。
[Abstract]:Objective: to investigate the relationship between the bends and the age of the hypospadias complicated with penis, and to understand the formation mechanism of hypospadias complicated with penile hypospadias, and to provide a basis for the choice of surgical methods for correcting the hypospadias. Methods: 2103 children with hypospadias complicated with penile hypospadias were divided into three groups according to their age. The relationship between hypospadias and age and the location of ectopic urethral orifice was analyzed. There were 130 cases of penile root hypospadias with complete records of the degree of underbending of penis. According to the age, 130 cases were divided into infant group (0-3 years old), preschool group (3-7 years old) and school age group (7-10 years old). The correlation between the degree of bended penile curvature and age was analyzed. Results there were 813 cases of hypospadias in 813 cases of hypospadias with urethral hypospadias. There was no significant correlation between urethral hypospadias and age. The position of ectopic urethral orifice was closer to the end of urethral orifice. With age, the ratio of penile flexure increased with age, and the ratio of P0.05 and P0.05 was increased gradually. Conclusion compared with distal hypospadias, the ventral hypospadias of the proximal hypospadias are more likely to be absent, and the histopathological factors that lead to the hypobaric bends may continue to increase with the growth and development of the hypobaric bends of the penis. Therefore, there is a significant difference between the two types of hypospadias. The true pathological factors should be fully removed in orthopedic surgery to avoid the recurrence of the inferior curvature caused by the remaining histopathological factors of the lower curvature of the penis.
【學(xué)位授予單位】：重慶醫(yī)科大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2013
【分類號】：R726.9

【參考文獻(xiàn)】

相關(guān)期刊論文 前2條

1 何大維,李旭良,魏光輝,林濤,劉俊宏;尿道板在尿道下裂一期手術(shù)中的應(yīng)用[J];中華泌尿外科雜志;2003年12期

2 魏光輝,李浪,劉星,宋曉峰,李旭良,何大維;尿道下裂陰莖下彎畸形組織病理學(xué)表現(xiàn)及臨床意義[J];中華小兒外科雜志;2005年10期

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