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尿道上裂的外科治疗
引用本文:Zhang F,Kang C,Wang X,Gu B,Liu J. 尿道上裂的外科治疗[J]. 中华外科杂志, 1998, 36(3): 133-135
作者姓名:Zhang F  Kang C  Wang X  Gu B  Liu J
作者单位:河北医科大学第二医院泌尿外科
摘    要:目的对124例各型尿道上裂外科治疗进行分析。其中不伴尿失禁者27例,伴尿失禁者97例。不完全型27例,完全型21例,复杂型76例。方法抗尿失禁方法主要采用不作输尿管移植的Leadbeter手术。女性完全型尿道上裂采用尿道缩紧术4例。对不完全型男性外生殖器作阴茎伸直术;完全型和复杂型作阴茎伸长术。结果完全控制排尿者73例,外生殖器成形效果满意。结论男性不完全型应作阴茎伸直术,完全型应作抗尿失禁和阴茎伸长术;女性完全型应作抗尿失禁和外阴成形术。

关 键 词:尿道上裂  尿失禁  外科手术

Surgical treatment of epispadias
Zhang F,Kang C,Wang X,Gu B,Liu J. Surgical treatment of epispadias[J]. Chinese Journal of Surgery, 1998, 36(3): 133-135
Authors:Zhang F  Kang C  Wang X  Gu B  Liu J
Affiliation:Department of Urology, Second Affiliated Hospital, Hebei Medical University, Shijiazhuang 050000.
Abstract:OBJECTIVE: To analyse the surgical treatment of 124 cases of epispadias (incomplete 27 cases, complete 21 and complex 76). METHOD: Leadbetter's operation was used for antiincontinence. Urethral tightening was used in 4 cases of complete female epispadias. Penile straightening was adopted for incomplete epispadias and penile lengthening for complete and complex male epispadias. RESULT: In 97 cases of urinary incontinence, complete continence was achieved in 73. CONCLUSION: The orthotherapy effects of external genitals were satisfactory.
Keywords:Epispadias Urinary incontinence Surgery   operative  
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