阴囊纵隔皮瓣一期修复尿道下裂体会

目的:探讨一次性修复尿道下裂的手术疗效。方法：利用阴囊纵隔皮瓣再造尿道，一次性修复尿道下裂。结果：我们对28例4岁－16岁的儿童应用此手术方法，先先天性尿道下裂一期修复术，除有一例发生尿瘘、二期修复外，其余均获成功。其中对21例进行了3个月－12个月的随访，未见并发症发生。结论：用阴囊纵隔皮瓣一次性修复悄道下裂，为重建尿道提供了可靠的血供保证，减少了并发症的发生，达到了一定的美学效果。去除了病人因身体缺陷而承受的心理负担。

REPAIRING HYPOSPADIAS WITH SCROTAL SEPTAL PEDICLE FLAP ON ONE STAGE

Objective:To investigate one stage repair hypospadias and evaluate the operative procedure effect. Methods: Correction of the deformity is achived by elimination of the chordee. The repair urethra may be done by scrotal septal pedicle flap. The surgical technique for correction of hypospadias were finished on one stage. Results :The scrotal septal pedicle flap were designed and used in 28 cases of hypospadias since 1993. The fistula formation occurred in 1case and two stage repaired it. There were 21 cases follow-up period between 3～ 12months ,postoperation no complications. Conclusion:The scrotal septal pedicle flap reconstrution urethra is satisfaction. It can be repaired hypospadias on one stage, and the excellent blood supply of this pedicle flap assures good healing and no serious complications.