| 带蒂包皮岛状皮瓣在尿道下裂再次手术中的应用 |
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| 引用本文： | 陈嘉波,杨体泉.带蒂包皮岛状皮瓣在尿道下裂再次手术中的应用[J].实用儿科临床杂志,2011,26(1):64-65. |
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| 作者姓名： | 陈嘉波 杨体泉 |
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| 作者单位： | 广西医科大学第一附属医院,小儿外科,南宁,530021 |
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| 摘 要： | 目的 总结带蒂包皮岛状皮瓣在尿道下裂再次手术中应用的适应证、手术技巧及其并发症.方法 2005年9月-2009年12月本院应用带蒂包皮岛状皮瓣再次手术治疗尿道下裂再次手术患儿35例,年龄3～15岁.其中22例为第2次手术,9例为第3次手术,4例为第4次手术,所有病例尿道局部瘢痕增生明显或尿道板已被破坏.手术方式分为2种:应用加盖岛状皮瓣法(Onlay术式)24例,应用岛状皮瓣管状尿道成形法(Duckett术式)11例.带蒂包皮岛状皮瓣长度为1～4 cm,新尿道采用F8或F10号的硅胶气囊尿管作为支架管,术后10～14 d拔除.结果 35例中27例(77.1%)一次手术成功,阴茎伸直良好,外形美观,排尿正常,成功率为77.1%.术后并发症:尿瘘6例,5例已行尿瘘修补,痊愈,1例等待修补;尿道狭窄2例,1例先行尿道狭窄处尿道造瘘,然后再次行尿瘘修补,痊愈,另1例已行尿道造瘘等待修补.结论 带蒂包皮岛状皮瓣可应用于尿道下裂再次手术,术后阴茎外形美观,但需注意根据手术适应证选择,而且手术操作较复杂,有一定的并发症.
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| 关 键 词： | 尿道下裂 尿道成形术 再次手术 儿童 |
Application of Pedicle Prepuce Island Skin Flap in Reoperation of Hypospadias |
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| CHEN Jia-bo
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YANG Ti-quan.Application of Pedicle Prepuce Island Skin Flap in Reoperation of Hypospadias[J].Journal of Applied Clinical Pediatrics,2011,26(1):64-65. |
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| Authors: | CHEN Jia-bo YANG Ti-quan |
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| Institution: | CHEN Jia-bo,YANG Ti-quan(Department of Pediatric Surgery,the First Affiliated Hospital of Guangxi Medical University,Nanning 530021,Guangxi Zhuang Autonomous Region,China) |
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| Abstract: | Objective To review the indications,techniques and complications of reoperation procedure of pedicle prepuce island skin flap with hypospadias.Methods From Sep.2005 to Dec.2009,35 boys who were aged 3-15 years old with hypospadias,were retreated with pedicle prepuce island skin flap.The procedure was performed in 24 patients using Onlay repair and in 11 patients using Duckett repair.The length of neourethra was 1-4 cm.The neourethra was tubularized over a 8 Fr or 10 Fr catheter.The urethral stent was remove... |
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| Keywords: | hypospadias urethroplasty reoperation child |
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