联合远位组织再造尿道修复复杂尿道下裂  

Repairing complex hypospaias with urethral reconstruction uniting amphi-position tissue

作　　者：关志广 姚砚灿 

机构地区：[1]南海西樵人民医院整形科,佛山广东528211

出　　处：《中国美容医学》2007年第7期906-907,共2页Chinese Journal of Aesthetic Medicine

摘　　要：目的:探索并总结复杂尿道下裂的修复方法。方法:2003年6月至2006年12月对32例复杂尿道下裂分别采用阴股沟中厚皮片游离移植、口腔粘膜游离移植、口腔粘膜耦合局部皮瓣、阴股沟中厚皮片耦合局部皮瓣再造尿道4种方法修复各型复杂尿道下裂。结果:随访半年～2年,除2例尿漏外,其余病例阴茎形态良好,排尿正常,无一例发生尿道狭窄或憩室,供区无明显畸形。结论:对于复杂的尿道下裂应遵循整体考虑,联合远位组织,综合利用现有材料,留有后路的指导思想,联合应用口腔粘膜、阴股沟中厚皮片再造尿道或与邻位皮瓣组合的方法修复的成功率高,值得推广。Objective To explore a good method for repairing complex hypospaias. Methods From Jun 2003 to Dec 2006, Using with four methods to repair 32 patients complex hypospaias：pudendal-thigt split thickness skin free grafts to reconstructed urethra, buccal mucosa free grafts to reconstructed urethra, buccal mucos combined with a local turnover flap and pudendal-thigt split thickness skin with a local turn-over flap to reconstructed urethra. Results Followup half to two years, all patients excellent cosmetic results, no urethral sticture was found except 2 cases fistula. Conclusion In repairing complex hypospaias, it is important to made use of the merits of different materials and unite amphi-position tissue, keep the health tissue for the possible next time operation. These methods to teating hyporspadias could solved the problem of tissue scarcity in urethral reconstruction. It is worthy of popularization.

关 键 词：尿道下裂 尿道再造 口腔粘膜 阴股沟中厚皮 皮瓣 

分 类 号：R695[医药卫生—泌尿科学]