论文部分内容阅读
临床资料本组8例中,年龄最小5岁,最大15岁。尿道下裂的类型:阴茎型5例,阴囊型1例,会阴型1例,尿道下裂并发尿道瘘1例。术后并发症为:2例术后早期尿道发生小瘘孔,均于1个月内自行愈合;1例因尿道远端感染致尿道口狭窄,经施行尿道外口成形术后排尿通畅;1例尿道远端腹侧皮办坏死,尿道口哆开,致新建尿道从原尿道沟处向近端退缩1厘米;1例发生感染、尿瘘,需再次施行尿道成形术。 8例中6例效果满意,1例尚可,1例失败,手术成功率为87.5％。手术方法一、矫正阴茎下曲先在阴茎头缝一针7号双丝线作术中及术后牵引用。沿冠状沟环形切开阴茎皮肤(腹侧距冠状沟2毫米,背侧距
Clinical data The group of 8 patients, the youngest 5 years old, the largest 15 years old. The type of hypospadias: 5 cases of penis type, 1 case of scrotum, 1 case of perineal, hypospadia complicated by urethral fistula in 1 case. Postoperative complications were as follows: 2 cases of early small urethral fistula postoperatively, both within 1 month of healing; 1 case of urethral stricture caused by distal urethral infection, urethral patency after urethral patency; 1 Cases of distal urethral ventral necrosis, dumb urethra opening, causing the urethra from the original urethra to the proximal retraction 1 cm; 1 case of infection, urinary fistula, to be reformed urethroplasty. Of the 8 patients, 6 patients were satisfied with the results, 1 was acceptable, 1 failed, and the successful rate was 87.5%. Surgical methods First, the correction of penile curvature of the penis in the first stitch a stitch on the 7th double-wire for intraoperative and postoperative traction. Circumferential crenate incision along the coronary sulcus (ventral 2 mm from coronal groove, dorsal