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小儿复杂性尿道下裂的处理
引用本文:蒋先镇,曾青,等.小儿复杂性尿道下裂的处理[J].湖南医科大学学报,2001,26(6):569-570.
作者姓名:蒋先镇  曾青
摘    要:目的:为探讨复杂性尿道下裂手术疗效。方法:对近5年间收治的复杂性尿道下裂29例进行回顾性研究,全部病例再次手术,术式为带蒂包皮或阴茎皮管转移尿道成形,原位阴茎阴囊皮管尿道成形,阴囊皮管和包皮皮管转移联合形成尿道等术式重建尿道,结果:除1例经原位阴茎皮管尿道成形术后遗留2个尿瘘外,余28例均获成功,成功率96.5%,结论:术前仔细评估,选择合适的手术方式是获得成功的关键。

关 键 词:尿道下裂  外科手术  泌尿  儿童

Treatment of complicated hypospadias in children]
X X Jiang,Q Zen,K B Zhong.Treatment of complicated hypospadias in children][J].Bulletin of Hunan Medical University,2001,26(6):569-570.
Authors:X X Jiang  Q Zen  K B Zhong
Institution:Department of Urology, Third Xiangya Hospital, Central South University, Changsha 410013, China.
Abstract:OBJECTIVE: To study the operation results of complicated hypospadias. METHODS: 29 cases of complicated hypospadias in recent 5 years were studied retrospectively. All cases were operated for the second time, methods used were urethroplasty with pedicled prepuce or transmitted penis prepuce tube, urethroplasty with penis-scrotum skin tube in-situ and urethroplasty with combination of scrotum skin tube and transmitted prepuce tube. RESULTS: Except 2 fistulae sequela occurred after urethroplasty with penis skin tube in-situ in 1 case, all the other 28 cases were a success, the success rate was 96.5%. CONCLUSIONS: The key point for success is precise appraisal before operation and appropriate choice of operation method.
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