切开尿道板管状成形术治疗尿道下裂35例报告

目的 :探讨切开尿道板管状成形术治疗小儿尿道下裂的临床效果。　方法 :尿道下裂患者 35例 ,年龄 1～12岁 ,均属阴茎型尿道下裂 ,其中 ,阴茎头型 5例、阴茎体型 2 7例、阴茎阴囊型 3例。采用正中切开尿道板 ,应用手术放大镜进行显微外科技术缝合 ,管状尿道成形术一期修复尿道下裂。　结果 :本组 35例患者 ,一次性治愈 30例 ,术后出现尿瘘 2例 ,尿道口狭窄 3例 ;随访 1～ 5年 ,32例无排尿异常。　结论 :尿道板接近正常尿道粘膜 ,血运丰富、伸延性好 ,切开尿道板管状成形术是一期修复阴茎型尿道下裂比较理想的术式。

Tubularized Incised Plate Urethroplasty for Hypospadias (a Report of 35 Cases)

Objective: To evaluate the clinical effects of tubularized incised plate urethroplasty for hypospadias. Methods: Thirty-five children aged 1 to 12 years with hypospadias were included in this study, 5 cases of them were glans type, 27cases penis type, and 3 cases penoscrotal type. Hypospadias was treated by one-stage tubularized incised plate urethroplasty. Incised plate in the middle line loosened the urethral plate, and the microsurgery technique was applied during the suture. Results: The appearance and function of the new urinary meatus was satisfactory. Thirty cases were successfully corrected with no urethral fistula and stricture. Two cases with urethral fistula and 3 cases with urinary meatus stricture were corrected by re-operation. Follow-up investigations were carried out in 32 patients. Conclusion: The urethral plate, close to normal urethral tissues, has an abundant blood supply and satisfactory elasticity. Tubularized incised plate urethroplasty is an ideal method for stage-one correction of hypospadias.