复杂性尿道下裂治疗初探  

A modified method to treat complex hypospadias

作　　者：李鹏程[1] 李强[1] 赵穆欣[1] 陈斌[1] 段晨旺[1] 陈文[1] 唐勇[1] 周传德[1] 李养群[1] 李森恺[1] 

机构地区：[1]中国协和医科大学中国医学科学院整形外科医院,北京100041

出　　处：《中国美容医学》2007年第10期1360-1362,共3页Chinese Journal of Aesthetic Medicine

基　　金：卫生部临床学科重点项目基金资助(编号:20010409);国家自然科学基金(编号:30070779)

摘　　要：目的:探讨多次手术失败后尿道下裂的治疗方法。方法:自2000年起应用植皮法再造尿道25例,取阴囊或腹股沟中厚皮片缝合固定于阴茎腹侧白膜,卷管再造尿道,并行龟头成形术。用带侧孔单腔硅胶导尿管支撑3～6个月。半年后行尿道吻接术。结果:1例患者手术后出现尿道口狭窄,行尿道外口切开术。2例发生尿瘘,其余无并发症发生,阴茎形态佳,尿道口为矢状裂隙。结论:会阴皮肤适合再造尿道,结合带侧孔单腔硅胶导尿管支撑是治疗复杂尿道下裂的较好方法,有推广价值。　Objective To explore a modified method to repair complex hypospadias with skin graft.Methods Total 25 patients with complex hypospadias were included in the study.The scar on the venture of penis was removed,and a free scrotal or groin skin graft was sutured and fixed to corpora cavernosa.Then neourethra was tubularized and supported with a silicone tube,followed by glanuloplasty.The reconstructed urethra was anastomosed half a year later.Results After operation,most patients had good penis contour and was slit-shaped terminal meatus.Yet 1 patient showed urethral stricture of meatus,which was corrected by meatotomy,and 2 patients developed urethral fistula.No other complication was observed.Conclusion The method is of value to the treatment of complex hypospadias.

关 键 词：尿道下裂 尿道 治疗 

分 类 号：R695[医药卫生—泌尿科学]