国际生殖健康/计划生育 ›› 2017, Vol. 36 ›› Issue (2): 165-167.

• 综述 • 上一篇    下一篇

术前激素治疗在小儿尿道下裂治疗中的应用与进展

王欣,关勇,徐国栋   

  1. 天津市儿童医院
  • 收稿日期:2016-12-15 修回日期:2017-01-17 出版日期:2017-03-15 发布日期:2017-03-15
  • 通讯作者: 王欣 E-mail:vivianwang1983@163.com
  • 基金资助:
    国家自然科学基金;天津市卫生局科技基金

Progress of Preoperative Hormone Therapy Prior to Surgical Correction of Hypospadias

  • Received:2016-12-15 Revised:2017-01-17 Published:2017-03-15 Online:2017-03-15

摘要: 摘要:尿道下裂是男性新生儿当中常见一类先天性畸形。目前主流的治疗方式为修复性手术治疗。然而,由于这类患儿阴茎通常较小,在外科操作过程中,很难有做够的适宜组织进行尿道重建。因此,术前局部或肠外给予睾酮激素治疗,一直是近年来小儿泌尿外科的重点研究内容。本文综述了近年来术前睾酮辅助治疗尿道下裂多项研究内容及相关进展,并客观探讨术前睾酮辅助治疗尿道下裂的对患儿的益处及风险。

关键词: 尿道下裂, 激素, 手术治疗

Abstract: Abstract: Hypospadias is a congenital anomaly of the male urethra that causes significant morbidity in the pediatric male population. The mainstay of treatment is hypospadias repair surgery. However, given the common co-occurrence of microphallus in these patients, surgery remains difficult without adequate tissue for proper reconstruction of the urethra. The use of preoperative testosterone therapy, parenterally or topically, has been a topic of study for several years in urologic literature. This literature review aims to summarize the different studies that have been conducted to address whether preoperative testosterone therapy is beneficial, inconsequential, or detrimental to the surgical and cosmetic outcomes of hypospadias repair as well as to address the differences in routes of administration.

Key words: Hypospadias, Hormone, surgery

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