【摘 要】目的：研究不同手术方法治疗重度尿道下裂的临床效果。方法：回顾分析我院2014年6月-2019年6月收治的72例重度尿道下裂患儿临床资料，依据手术方法不同分为A、B两组，A组为改良Koyanagi术，B组为Duckett+Duplay术，研究比较两组患儿的临床治疗效果。结果：临床治疗总有效率指标比较两组患儿无差异(P>0.05)，尿瘘、尿道狭窄发生率指标比较，研究组低于对照组(P<0.05)。结论：小儿尿道下裂采用改良Koyanagi手术治疗临床效果显著，术后并发症尤其是尿道狭窄发生率低，值得临床推广应用。

    【关键词】Koyanagi术;Duckett术;重度尿道下裂

    【中图分类号】R58 【文献标志码】A 【文章编号】1005-0019(2020)07-012-02

    Analysis of clinical effect of different surgical methods in treating severe hypospadias

    Guilin Medical College Affiliated Hospital Guangxi Guilin 541004

    Abstract： Objective： To study the clinical effect of different surgical methods on severe hypospadias. Methods： the clinical data of 72 children with severe hypospadias admitted to our hospital from June 2014 to June 2019 were reviewed and analyzed. According to the surgical methods ......