袖状蒂岛状皮瓣一期修复近端型尿道下裂  

Sleeve vascular pedicle island flap technique for repair of proximal hypospadias

作　　者：吴海啸[1] 朱再生[1] 余谦[1] 吴汉[1] 王先道[1] 汪定海[1] 

机构地区：[1]浙江大学医学院金华市中心医院泌尿外科,金华321000

出　　处：《中国男科学杂志》2004年第4期40-42,共3页Chinese Journal of Andrology

摘　　要：目的探讨一期修复近端型尿道下裂的手术方式.方法自1997年以来,采用袖状蒂原位岛状皮瓣一期修复尿道口位于阴茎阴囊交界近端的尿道下裂31例.伴阴茎阴囊转位的6例同时纠正.耻骨上膀胱穿刺造瘘,10～13d拔管.结果一期手术成功22例.尿瘘9例,尿瘘再次修补成功率为88.89%.伴尿道口狭窄1例,早期伤口感染和阴茎腹侧皮肤坏死各1例.27例获随访6个月以上,对外生殖器外观满意度77.78%.结论该手术是一种治疗近端型尿道下裂符合解剖生理的手术方式.Objective To evaluate an operative approaches to proximal hypospadias. Methods From 1997,one-stage sleeve vascular pedicle island flap to repair proximal hypospadias was used in 31 patients.Six patients withpenoscrotal transposition was operated simultaneously. Suprapubic dirersion was used for drainage. Suprapublic tubewere removed 10-13 days after operation. Result One-stage healing was achieved in 22 Cases. Nine patients sufferedfrom fistula, Re-repair success rates of the fistula were 88.89% . One patients suffered from meatal stenosis. 27patients were followed up more than 6 months. Good cosmetic appearance of the penis was approved by 77.78%.Conclusion The technque was theoretically based on the applied anatomy. It can be a good alternative for proximalhypospadias.

关 键 词：尿道下裂 外科 手术 

分 类 号：R695[医药卫生—泌尿科学] R699[医药卫生—外科学]