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首页> 外文期刊>Journal of Indian association of pediatric surgeons >Can grafted tubularized incised plate urethroplasty be used to repair narrow urethral plate hypospadias? Its functional evaluation using uroflowmetry
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Can grafted tubularized incised plate urethroplasty be used to repair narrow urethral plate hypospadias? Its functional evaluation using uroflowmetry

机译：可以使用接管的管状切开的尿道置换术修复狭窄的尿道板尿道下裂吗？使用尿流法对其功能进行评估

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Aim: Using uroflowmetry, the aim of this study is to determine the functional results of the grafted tubularized incised plate (GTIP) urethroplasty used to repair poor urethral plate hypospadias. Settings and Design: Seventy-one patients (mean age: 5.7 years, follow-up: 1–5.5 years) were selected from those who underwent surgery using the GTIP technique from 2013 to 2015 at our institution. Methods: Patients included were able to void voluntarily and had no fistula. The flow pattern, maximum urinary flow rate (Qsubmax/sub), voided volume (vv), average flow rate, and voiding time were measured. The results were expressed as percentiles and interpreted according to Siroky nomogram. The Qsubmax/subwas considered normal if 25supth/sup percentile, as equivocally obstructed when in the 5supth/sup–25supth/sup percentile, and obstructed if 5supth/sup percentile. Results: Hypospadias was distal in 45, mid penile in 17 and proximal penile in 9. The uroflow curve was bell-shaped in 24 (30%), interrupted in 9 (14%), slightly flattened in 31 (46%), and a plateau in 7 (10%). Flow rate nomograms revealed that 49 (68%) were above the 25supth/sup percentile, 9 (17%) were below the 5supth/sup percentile, and 13 (15%) were between these ranges. Eleven patients showed improvement in the flow curve and maximum urinary flow rate (Qsubmax/sub) in follow-up uroflowmetry. Conclusion: GTIP repair provides satisfactory functional results. A long-term follow-up is needed to confirm these results.
机译：目的：使用尿流法，本研究的目的是确定用于修复较差的尿道板尿道下裂的移植管状小切口钢板（GTIP）尿道成形术的功能结果。设置与设计：从我院2013年至2015年使用GTIP技术进行手术的患者中，选择了71例患者（平均年龄：5.7岁，随访时间：1-5.5岁）。方法：纳入的患者能够自愿排空并且没有瘘管。测量流型，最大尿流率（Q max ），排尿量（vv），平均流速和排尿时间。结果以百分位数表示，并根据Siroky nomogram进行解释。如果第 th 个百分位数大于25，则认为Q max 是正常的，因为在第5 –25 百分位，如果<5 th 百分位则受阻。结果：下丘脑位于远端45处，阴茎中部位于17处，而近端阴茎则位于9处。尿流曲线呈钟形呈24形（30％），间断呈9形（14％），31个呈扁平状（46％），以及7（10％）处于稳定状态。流量列线图显示49（68％）高于25 百分位，9（17％）低于5 百分位，13（15％）在这些范围之间。随访尿流法11例患者的血流曲线和最大尿流率（Q max ）均有改善。结论：GTIP修复可提供令人满意的功能结果。需要长期随访以确认这些结果。

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