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目的总结镶嵌式唇粘膜在治疗尿道下裂手术后复杂性尿道皮肤瘘的应用效果。方法 2009年3月至2014年6月期间广州军区广州总医院泌尿外科,对符合手术指征的36例尿道下裂术后复杂性尿道皮肤瘘的患者术中应用镶嵌式唇粘膜,并评估手术并发症和术后尿瘘的再发率。结果镶嵌式唇粘膜修复复杂性尿瘘术后,仅2例出现尿瘘,1例出现尿道狭窄,成功率为91.7%,术后阴茎美观。结论镶嵌式唇粘膜修复复杂性尿瘘,为临床提供了一种可靠而有效的手术方法,其术后并发症少,降低了术后尿瘘的再发率,是一种较为理想的手术方式。
Objective To summarize the application effect of inlaid lip mucosa in the treatment of complicated urethral skin fistula after hypospadias operation. Methods From March 2009 to June 2014, Guangzhou General Hospital of Guangzhou Military Region Urology, in line with the surgical indications of 36 cases of hypospadias complicated postoperative urethral skin fistula surgery inlaid lip mucosa and evaluation of surgery Complications and postoperative urinary fistula recurrence rate. Results Mosaic lip mucosa repair complex urinary fistula surgery, only 2 cases of urinary fistula occurred, 1 case of urethral stricture, the success rate was 91.7%, postoperative penis beautiful. Conclusions Mosaic lip mucosa repair complicated urinary fistula provides a reliable and effective surgical method for clinical treatment. It has less postoperative complications and reduces the recurrence rate of postoperative urinary fistula, which is an ideal surgical method.