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目的:总结阴囊纵隔皮瓣一期尿道成形术治疗尿道下裂的手术经验,评估此法在尿道下裂修复术中的价值。方法:回顾分析1988年10月至2010年11月我院应用阴囊纵隔皮瓣一期修复尿道下裂36例患者的临床资料,其中阴茎型17例,阴茎阴囊型19例。结果:阴茎型17例术后尿漏5例,成功率70.6%;阴茎阴囊型术后尿漏3例,成功率84.2%。结论:阴囊纵隔皮瓣一期尿道成形术治疗阴茎阴囊型尿道下裂成功率高,应是首选术式;正确切取与缝合阴囊皮瓣是预防尿漏的重要措施。
OBJECTIVE: To summarize the experience of surgical treatment of hypospadias by stage 1 urethroplasty of the scrotal septal flap, and to evaluate the value of this method in hypospadias repair. Methods: From October 1988 to November 2010, the clinical data of 36 patients with hypospadias repair in our hospital from January 1988 to January 2010 were reviewed. Among them, 17 were penile type and 19 were penile scrotum type. Results: 17 cases of penile type of postoperative leakage of urine in 5 cases, the success rate of 70.6%; 3 cases of penile scrotal postoperative urine leakage, the success rate of 84.2%. CONCLUSIONS: The successful rate of scrotal mediastinal flap urethroplasty in the treatment of penile scrotal hypospadias is the first choice. It is an important method to prevent the leakage of urine by correctly cutting and suturing the scrotal skin flap.