小儿复杂性尿道下裂的处理

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 2 9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 2 8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。

Treatment of complicated hypospadias in children

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.