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阴囊纵隔皮瓣代尿道治疗尿道下裂45例报告
引用本文:洪钟亮,江明友,朱选文.阴囊纵隔皮瓣代尿道治疗尿道下裂45例报告[J].现代泌尿外科杂志,2004,9(2):91-92.
作者姓名:洪钟亮  江明友  朱选文
作者单位:1. 桐庐县第一人民医院外科,浙江桐庐,311500
2. 浙江大学医学院附属第一医院泌尿外科,浙江杭州,310006
摘    要:目的 探讨带蒂阴囊纵隔皮瓣Ⅰ期修复尿道下裂的方法及并发症的防治。方法 对45例应用带蒂阴囊纵隔皮瓣Ⅰ期修复尿道下裂术式治疗的患的资料进行了分析。结果 45例一次手术治愈43例,2例术后并发尿瘘,1例尿道外口狭窄,手术成功率95%。结论 带蒂阴囊纵隔皮瓣血运丰富,成形尿道愈合力强,合并症少,尿道口能达正位,能Ⅰ期完成手术。

关 键 词:阴囊纵隔皮瓣代尿道术  外科治疗  尿道下裂  并发症  带蒂阴囊纵隔皮瓣  Ⅰ期修复术
文章编号:1009-8291(2004)02-0091-02
修稿时间:2003年4月5日

One-stage repair of hypospadias using scrotal septal pedicel flap (report of 45 cases)
Hong Zhongliang,Jiang Mingyou,Zhu Xuanwen.One-stage repair of hypospadias using scrotal septal pedicel flap (report of 45 cases)[J].Journal of MOdern Urology,2004,9(2):91-92.
Authors:Hong Zhongliang  Jiang Mingyou  Zhu Xuanwen
Abstract:Objective To explore the method and prevent complication with one-stage repair of hypospadias using scrotal septal pedicel flap. Methods A total of 45 cases with one-stage repair were analyzed. Results 43 patients were cured after one operation, with the successful rate being 95%. Single urethral fistula occurred in 2 patients.One patient had stenosis of meatns. Conclusion Scrotal flap is rascular, whose blood circulation is abundant. The healing ability of neo-urethra is strong. The complication is rare. This type of operation can complete the correcetion of clubbed penis and urethroplasty in one stage. The opening of neo-urethra can reach normal anatomic place.The contours of penis are good.
Keywords:hypospadias  scrotal septal pedicel flap  surgical flap
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