【摘要】 目的　报道阴茎背侧岛状皮瓣治疗阴囊型及会阴型尿道下裂。方法　阴囊型及会阴型尿道下裂儿童 2 6例 ,均采用阴茎背侧岛状皮瓣 (Perovic)或弧形带蒂包皮内板阴茎背侧联合皮瓣 (Duckett+Perovic)制成皮管Ⅰ期尿道成形。术中常规耻骨上膀胱穿制造瘘引流尿液 ,尿道内置入F10～ 12 多侧孔硅胶管作为支架引流 ,术后应用头孢曲松钠抗感染治疗 1w ,保留尿道支架管 6～ 8d ,膀胱造瘘管 10～ 12d。结果　 2 3例Ⅰ期成功 ,3例发生尿瘘 ,均于 6月后修补瘘管痊愈。排尿正常 ,无痛性勃起 ,阴茎无扭转 ,腹侧无臃肿。结论　此法治疗包皮阴茎皮肤充裕之重度尿道下裂效果确切 ,外观满意 ,是一种较好的手术方式更多还原

【Abstract】 Objective To present a moified technique of island flap (Duckett+Perovic’s method)for repair of severe hypospadias.Methods Between January 1996 and May 2002,26 cases of severe hypospadias were repairs using Perovic’s method in a lonely or using Duckett’s method plus Perovic’s method.In all patients,we employed island flaps in one stage.Suprapubic diversion was used for drainage,and 10F or 12F tube was inserted to the proximal end of new urethra.Ceftriaxone was used after the operation on all of patients for one week.Urethral tubes were removed at 6 or 8 days postoperation and the suprapubic tubes at 10 or 12 days postoperation.Results One stage healing was successfully achieved in 23 patients.Three patients suffered from fistula,of them were healed through re-operation at six months later.After the operation,normal function was recovered and perfect appearance was achieved.Conclusion The result of repair turned out to be satisfactory and we believe that the technique is a good alternative for severe hypospadias.更多还原