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带蒂阴囊纵隔皮瓣Ⅰ期修复尿道下裂26例报告

HYPOSPADIAS REPAIRED WITH SCROTAL SEPTAL VASCULAR PEDICLE FLAP IN ONE STAGE

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【作者】 王圣林; 赵启明; 楼雪玲; 夏东胜; 吴律文; 张承驹;

【Author】 WANG Sheng -lin ,ZHAO Qi -ming,LOU Xue -ling,XIA Dong -sheng,WU Lu -wen and ZHANG C heng -ju(Department of Plastic and Aesthetic Surgery of the 117th Military Hospit al,Hangzhuo,Zhejiang 310013,Chin a.)

【机构】 解放军第117医院整形外科; 解放军第117医院整形外科 浙江省杭州市310013; 浙江省杭州市310013; 浙江省;

【摘要】 目的:探讨带蒂阴囊纵隔皮瓣Ⅰ期修复尿道下裂的效果。方法:应用带蒂阴囊纵隔皮瓣形成尿道,皮瓣的宽度一般为:儿童1.2~1.6cm,成人1.6~2.0cm;长度为阴茎伸直后从阴囊根部至龟头的长度。结果:本组26例,2例尿道口局部坏死,痂下愈合;1例尿道外口狭窄。结论:应用该方法Ⅰ期修复尿道下裂效果好、并发症少,不失为一种较好的方法。

【Abstract】 Objective:To evaluate the effect of the operation in which the scrotal septal vascul ar pedicle flap was used to repair the hypospadias in one stage.Methods:There were 26cases who had different kinds of hypospadias.The urethra wa s formed by the scrotal septal vascular pedicle flap.The wi dth of the flap in children was 1.2~1.6cm,and that in adults was 1.6~2.0cm.The length of the flap was from the balanus to the root of thescrotum.Results:Two of 26cases had local nicrosis in t he distally part of the flap,and reac hed subcrust healing.One of them had the meatal or urethral stenostomia.23c ases obtained satisfactory effects and had no any complica-tion.Conclusion:The result proved that this technique is an ideal,simple and effective me thod.[

【关键词】 尿道下裂; 带蒂阴囊纵隔皮瓣; Ⅰ期修复;
【Key words】 hypospadias; scrotal septal; flap;
  • 【文献出处】 中国美容医学 ,Chinese Journal of Aesthetic Medicine , 编辑部邮箱 ,2002年05期
  • 【分类号】R699
  • 【被引频次】3
  • 【下载频次】15
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