| 横形包皮岛状皮瓣一期修复尿道下裂 |
| |
| 引用本文： | 耿和,关超,常睿,朱永献.横形包皮岛状皮瓣一期修复尿道下裂[J].解剖与临床,2004,9(2):97-99. |
| |
| 作者姓名： | 耿和 关超 常睿 朱永献 |
| |
| 作者单位： | 1. 上海市普陀区人民医院泌尿外科,上海,200060
2. 蚌埠医学院附属医院泌尿外科 |
| |
| 摘 要： | 目的：探讨应用横形包皮岛状皮瓣一期治疗尿道下裂的手术效果。方法：利用横形包皮岛状皮瓣，对38例尿道下裂(阴茎型33例，阴茎阴囊型5例)进行一期修复手术，同时作膀胱造瘘23例，另15例仅留置导尿管。结果：一次手术成功33例，占86．8％；术后并发尿瘘5例，其中1例术后2周瘘口自愈、3例术后6个月再手术修补成功、1例两次手术修补后成功；尿道狭窄6例，占15．8％，经尿道扩张4～9次痊愈；阴茎旋转4例，获随访2例，分别于术后11个月和15个月恢复正常。结论：横形包皮岛状皮瓣一期手术治疗尿道下裂，效果良好．手术成功率高。
|
| 关 键 词： | 横形包皮岛状皮瓣 一期修复手术 尿道下裂 小儿 并发症 |
| 修稿时间： | 2004年1月17日 |
A Study of One-Stage Repair of Hypospadias Using Transverse Preputial Island Flap |
| |
| Geng He,Guan Chao,Chang Rui,et al..A Study of One-Stage Repair of Hypospadias Using Transverse Preputial Island Flap[J].Anatomy and Clinics,2004,9(2):97-99. |
| |
| Authors: | Geng He Guan Chao Chang Rui |
| |
| Abstract: | Objective:To evaluate one-stage repair of hypospadias usign transverse preputial island flap.Methods:38 cases of hypospadias with chordee under-going this procedure in the past 6 years were retrospectively analyzed.Results:Of 38 cases,33(86.8%) secured success and postoperative urinary fistula developed in 5(13.8%),urethral stricture in 6 (15.8%) and penile rotation in 4 (10.5%).Suprapabic diversion was used for drainage in 23 cases,and not in the other 15 cases.Conclusion:The use of transverse preputial island flap is effective in hypospadias repair and it is not necessary to divert urine for drainage in the elder children. |
| |
| Keywords: | Hypospadias Surgery Island flap |
| 本文献已被 CNKI 维普 万方数据 等数据库收录！ |
