【摘要】 目的 采用护理干预手段预防尿道下裂术后尿瘘的发生。 方法 选择尿道下裂带蒂皮瓣正位开口一期尿道成形术患者70例随机分为2组:一组是常规用生理盐水冲洗尿道支架管方法;另一组是生理盐水10ml加庆大霉素8万U冲洗新尿道支架管，呋喃西林溶液擦拭外阴部以及红外线伤口局部照射的护理干预方法综合护理，观察尿瘘的发生率。 结果 实验组尿瘘发生率为5.7%，对照组尿瘘发生率为25.7%，P<0.05，两组比较，差异有显著性。 结论 实施护理干预，保持伤口清洁干燥，保持引流管通畅，对预防尿道下裂术后尿瘘，提高一期手术成功率起到确切的效果和积极的作用。

    【关键词】 尿道下裂 并发症 尿瘘 护理干预

    【Abstract】 Objective To investigate the nursing intervention in preclusion of post-urethroplasty urinary fis-tula of hypospadia.Methods 70urethroplasty cases were randomly divided into2groups，the urethral stents were douched with0.9%N.S in the cotrol group，and the integrated nursing intervention(INI)was applied in the treatment group，the INI includerays the use of10ml0.9%N.S plus80000units gentamicin for douche，swabbing genitals with nitrofurazone solution and infrared rays exposure of genitals.Results The incidence of post-urethroplasty urinary fistula was5.7%the treatment group and25.7%in the control group with significant difference between two groups(P<0.05).Conclusion The INI including keeping incision clean and smooth douche ......