| 纵形带蒂岛状包皮瓣加筋膜覆盖一期治疗小儿尿道下裂 |
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| 引用本文： | 张振栓,葛建强,贾民.纵形带蒂岛状包皮瓣加筋膜覆盖一期治疗小儿尿道下裂[J].河北医药,2006,28(10):903-904. |
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| 作者姓名： | 张振栓 葛建强 贾民 |
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| 作者单位： | 054000,邢台市,河北省复员军人医院泌尿外科;054000,邢台市,河北省复员军人医院泌尿外科;054000,邢台市,河北省复员军人医院泌尿外科 |
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| 基金项目： | 河北省残疾孤儿手术康复明天计划 |
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| 摘 要： | 目的 探讨应用纵形带蒂岛状包皮瓣加筋膜覆盖一期治疗小儿尿道下裂的临床效果.方法 对36例小儿尿道下裂患者采取纵形带蒂岛状包皮瓣形成新尿道,并用筋膜覆盖的方法进行手术治疗,注重阴茎头、阴茎与阴囊成形.结果 一期成功31例,吻合口处尿瘘5例,随访1年无尿道狭窄,排尿正常,外观接近正常.一期成功率86.11%,尿瘘率13.89%.结论 应用纵形带蒂岛状包皮瓣加筋膜覆盖一期治疗小儿尿道下裂成功率高、并发症少,值得临床推广.
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| 关 键 词： | 尿道下裂 岛状包皮瓣 儿童 |
| 收稿时间： | 2005-12-06 |
| 修稿时间： | 2005-12-06 |
The therapeutic effect of one stage therapy with vertical pedicle onlay island flap with covering of fasciaes on children hypospadias |
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| ZHANG Zhenshuan,GE Jianqiang,JIA Min.The therapeutic effect of one stage therapy with vertical pedicle onlay island flap with covering of fasciaes on children hypospadias[J].Hebei Medical Journal,2006,28(10):903-904. |
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| Authors: | ZHANG Zhenshuan GE Jianqiang JIA Min |
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| Institution: | Department of Urology, Hebei Provincial Veteran Hospital, Hebei, Xingtai 054000 |
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| Abstract: | Objective To investigate the therapeutic effect of one stage therapy with vertical pedicle onlay island flap with covering of fasciaes on children hypospadias.Methods Thirty-six children with hypospadias underwent one stage repair with vertical pedicle onlay island flap and fasciaes.The urethral orifice was constructed with vertical pedicle onlay island flap noting penialplastic scrotumplastic.Results Thirty-one of 36 cases (86.11%) were cured at one session and postoperative urethrocutaneous fistuca happened in 5 cases (13.89%).After 1-year follow up,no urethral stricture was found.Conclusion This method can produce a satisfactory clinical result in the treatment of children hypospadias. |
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| Keywords: | hypospadias onlay island flap children |
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