临床小儿外科杂志2025，Vol.24Issue(3)：250-254,5.DOI:10.3760/cma.j.cn101785-202207006-009
尿道下裂再手术后并发症的危险因素分析
Analysis of Risk Factors for Complications Following Reoperation for Hypospadias
摘要
Abstract
Objective To investigate the risk factors for complications following reoperation for hypospa-dias.Methods A retrospective analysis was conducted on the clinical data of children who underwent reopera-tion for hypospadias at Xinhua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine between December 2019 and December 2021.Patients were divided into two groups based on whether they experienced complications after the final surgery:the complication group and the non-complication group.Data collected in-cluded previous surgical history,symptoms at admission,age,weight,intraoperative findings,surgical method,duration of surgery,catheter removal time,length of hospital stay,and urinary system comorbidities.The risk fac-tors for complications after the final surgery were analyzed.Results A total of 106 children were included in this study.Symptoms at admission were classified as:urethral fistula(93 cases),urethral stenosis(8 cases),and urethral diverticulum(5 cases).Complications occurred in 36 cases after the final surgery,including 28 ca-ses of urinary fistula,6 cases of urethral stricture,and 2 cases of urethral diverticulum.Univariate analysis indi-cated that age,surgical etiology(including the location of the fistula),and the number of previous surgeries were risk factors for complications after reoperation(P＜0.05),while surgical type,duration of surgery,pres-ence of other primary urinary tract diseases,and total length of hospital stay were not associated with complica-tions(P＞0.05).Multivariate logistic regression analysis showed that age(OR=1.165,95％CI:1.023-1.321),urethral stenosis(OR=3.825,95％CI:1.072-13.645),root fistula(OR=0.411,95％CI:0.184-0.917),having undergone 2 previous surgeries(OR=3.434,95％CI:1.153-10.214),and having undergone 3 or more previous surgeries(OR=10.435,95％CI:1.474-12.451)were independent risk factors for complica-tions following reoperation.Conclusions For children with hypospadias who are undergoing reoperation,individ-ualized surgical plans should be chosen based on the child's specific situation,ensuring more precise surgical techniques and enhanced postoperative care for high-risk patients to reduce the incidence of complications.关键词
尿道下裂/并发症/外科手术/儿童Key words
Hypospadias/Complications/Surgical Procedures,Operative/Child引用本文复制引用
潘永东,方晓亮,徐国锋..尿道下裂再手术后并发症的危险因素分析[J].临床小儿外科杂志,2025,24(3):250-254,5.基金项目
上海市科学技术委员会科研计划项目(23Y21900102) Research Plan Project of Shanghai Science and Technology Commission(23Y21900102) （23Y21900102）
