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目的针对尿道下裂并阴茎腹侧弯的术后一系列并发症尤其是尿瘘的问题,本研究旨在改进成一种新的治疗尿道下裂的术式,减少和克服手术并发症。方法29例Ⅱ期尿道下裂患儿以膀胱黏膜代尿道,原尿道外口周缘皮肤半弧形切口,游离末端尿道,做自龟头顶部至原尿道口切口的全程阴茎皮下隧道,膀胱黏膜尿道引入隧道内,近端尿道吻合,以阴囊半弧形皮瓣覆盖原尿道口半弧形切口。结果全部29例功能及外观均获得满意效果,无尿瘘等严重并发症。结论本术式是特别适用于原尿道口位于或接近阴茎根部及阴囊部的Ⅱ期尿道下裂成形术,对减少和消除尿道下裂术后并发症具有良好的效果,笔者体会是一种理想的术式。
Objective To address the postoperative complications of hypospadias and penile ventral bending, especially urinary fistulas, this study aims to improve a new surgical procedure for the treatment of hypospadias to reduce and overcome surgical complications. Methods 29 cases of stage Ⅱ hypospadias children with bladder mucosa on the urethra, the original urethral perioral skin semi-curved incision, free end urethra, from the top of the glans to the original urethral incision of the entire penis subcutaneous tunnel, bladder mucosa urethra into Tunnel, the proximal urethra anastomosis to the scrotum semicircular flap cover the original urethra half-curved incision. Results All 29 patients achieved satisfactory results in appearance and function, and no serious complications such as urinary fistula. Conclusion This procedure is especially suitable for the urethral orifice at or near the root of the penis and the scrotum Ⅱ stage hypospadiasoplasty to reduce and eliminate postoperative complications of hypospadias has a good effect, I understand is an ideal The operation.