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目的:探讨中重度尿道下裂合并的阴茎下弯的纠治方法。方法:回顾2008年5月～2009年11月本院对20例合伴中重度阴茎下弯的尿道下裂患儿施行了分期手术,第一期阴茎伸直术采用了保留原位尿道板、转移带蒂睾丸鞘膜补片法。结果:20例均成功实施手术,术后无皮瓣坏死、感染及渗血情况。有14例半年后施行第二期尿道成形术,术中经人工勃起试验评估阴茎弯曲纠正好。结论:保留尿道板、带蒂睾丸鞘膜补片法是一种纠治阴茎下弯的可靠方法,疗效满意。
Objective: To discuss the correction of moderate and severe hypospadias penile curvature correction. Methods: From May 2008 to November 2009, 20 cases of hypospadias with moderate and severe penile curvature underwent staging in our hospital. The first stage of penile extension was performed with the preservation of urethral plate in situ, Transfer of pedicled sphincter patch method. Results: All the 20 cases were operated successfully. No postoperative necrosis, infection and bleeding were found. A total of 14 patients underwent urethroplasty in the second half of the year after surgery. The intraoperative penile curvature was corrected by the artificial erection test. CONCLUSION: The retention of the urethral plate and the pedicled sphincter patch is a reliable method of correcting the penile curvature, with satisfactory results.