论文部分内容阅读
我院自1994年1月～1999年6月共收治尿道下裂成形术后尿道瘘11例,采用了不同的修补方法,现报告如下。 1 一般资料 本组11例患者,年龄4～12岁,均在尿道瘘形成后6～12个月行尿道瘘修补术。其中,第一次修补者9例,第二次修补者2例;单个瘘口者7例,两个瘘口者4例;瘘口直径最大者5mm;瘘口位于阴茎根部3例,阴茎部尿道8例。采用瘘口内翻直接缝合术7例,带蒂皮瓣转移覆盖术4例。 2 方法 术前了解患者瘘口大小、数目、位置及瘘口周围瘢痕和正常皮肤的面积情况,术前3d用1:5000高锰酸钾溶液坐浴。麻醉均采用氯胺酮麻醉。本组7例采用瘘口内翻直接缝合术,即沿瘘口边缘1～2mm作一环行切口,以蚊式钳向瘘口外周皮下层游
Our hospital from January 1994 to June 1999 were treated hypospadias urethral fistula in 11 cases, using a different method of repair, are as follows. 1 General Information The group of 11 patients, aged 4 to 12 years old, urethral fistula repair urethral fistula 6 to 12 months after the formation. Among them, the first repair in 9 cases, the second repair in 2 cases; a single fistula in 7 cases, two fistula in 4 cases; fistula diameter 5mm; fistula in the penile root in 3 cases, the penis Urinary tract in 8 cases. Seven cases were treated with direct fistula varus suture and 4 cases with pedicle flap transfer and covering. 2 Methods Preoperative understanding of the patient’s fistula size, number, location and area around the fistula and normal skin area, preoperative 3d with 1: 5000 bath of potassium permanganate solution. Anesthesia is ketamine anesthesia. The group of 7 cases of fistula using direct suture, that is along the edge of the fistula 1 ~ 2mm for a circular incision to mosquito clamp to the fistula peripheral subcutaneous layer