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斜行包皮岛状皮瓣尿道成形术治疗尿道下裂
Urethroplasty with Oblique Preputial Island Flap for the Treating of Hypospadia
【摘要】 目的:探讨斜行包皮岛状皮瓣尿道成形术治疗尿道下裂的效果。方法:采用斜行包皮岛状皮瓣尿道成形术治疗尿道下裂51例。结果:所有病例均自正位尿道口排尿,尿道外口呈纵向裂隙状,阴茎的外观满意,无阴茎下弯或侧弯,并发症发生率11.8%(6/51),其中尿瘘3例,尿道外口狭窄3例。结论:本术式具有取材范围大、皮瓣血运可靠、成形阴茎外观满意、并发症少等优点,适合阴茎型和阴茎-阴囊型尿道下裂的I期修复。
【Abstract】 Objective: To Explore the effect of oblique preputial island flap for the treating of hypospadias.Methods: Fifty-one patients were performed one-stage urethroplasty with oblique preputial island flap to repair hypospadias.Results: All cases resulted in a good contour of the penis without any redundancy and a normal anatomic position of slit-shaped urethral meatus.The urination was perfect.Six patients occurred complications(3 cases of urinary fistua,3 cases of meatal stenosis).Conclusion: With extensive scope of materials,reliable blood supply of skin flap,satisfactory appearance of shaping penis and few complications,one-stage urethroplasty with oblique preputial island flap is an effective method to repair hypospadias of penile type and penile-scrotal type.
- 【文献出处】 中华男科学杂志 ,National Journal of Andrology , 编辑部邮箱 ,2006年04期
- 【分类号】R726.9
- 【被引频次】11
- 【下载频次】64