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目的探讨横裁转移带蒂包皮皮瓣治疗尿道下裂一期尿道成形术(即Duckett式)的疗效。方法回顾分析48例采用横裁转移带蒂包皮皮瓣治疗尿道下裂一期尿道成形术的临床资料。结果42例手术成功,成功率87.5%;尿瘘4例(8.3%),行尿瘘修补术;尿道外口狭窄2例(4.2%),经尿道外口扩张后治愈。38例随访4个月~10年,阴茎外观及排尿均良好。结论横裁转移带蒂包皮皮瓣治疗尿道下裂一期尿道成形术外形良好,取材方便,成功率高,并发症少,是一种理想的治疗方法。
Objective To investigate the curative effect of transcortical pedicled foreskin flap for urethral hypospadias stage one urethroplasty (Duckett style). Methods The clinical data of 48 cases of urethroplasty during primary urethral plagiocutaneous hypofractionation treated with lateral transfer and transcortical foreskin flap were retrospectively analyzed. Results The operation was successful in 42 cases, with a success rate of 87.5%. Urinary fistula was repaired in 4 cases (8.3%) and in 2 cases (4.2%) with urethral fistula stenosis. 38 cases were followed up for 4 months to 10 years, the penile appearance and urination were good. Conclusion Transverse transfer of the pedicle flap for the treatment of hypospadias stage urethroplasty good shape, easy access, high success rate, fewer complications, is an ideal method of treatment.