带蒂背侧皮下组织瓣转移覆盖技术在尿道下裂术后复杂尿瘘修复术中的应用（附32例报告）  

The use and effect of dorsal dartos flap wrapping technique in complicated hypospadias fistulas repairs

作　　者：肖远松[1] 姚华强[1] 吕军[1] 杨槐[1] 何恢绪[1] 胡卫列[1] 

机构地区：[1]广州军区广州总医院泌尿外科,510010

出　　处：《中国医师进修杂志（外科版）》2008年第12期11-12,共2页Chinese Journal of Postgraduates of Medicine

摘　　要：目的评价带蒂背侧皮下组织瓣转移覆盖技术在尿道下裂术后复杂尿瘘修复术中的疗效。方法病例分两组：试验组为2004年3月至2008年1月收治的32例复杂尿瘘修复手术中采用带蒂背侧皮下组织瓣转移覆盖关闭瘘口的病例。对照组为1998年1月至2004年2月收治的50例复杂尿瘘修复手术中采用常规尿道成形术或尿瘘修复术病例。结果随访3～12个月，试验组32例术后无一例再次出现尿瘘，对照组50例术后6例再次出现尿瘘。对照组尿瘘发生率12．0％，与试验组比较差异有统计学意义（P〈0．05）。结论在尿道下裂术后复杂尿瘘修复术中，采用带蒂背侧皮下组织瓣转移覆盖技术提高了手术成功率，降低了术后尿瘘发生率。Objective To investigate the use and effect of dorsal dartos flap wrapping technique in complicated hypospadias fistulas repairs. Methods In the experimental group, the closed fistulas were wrapped with transferred dorsal dartos flap in the 32 cases of complicated hypospadias fistulas from March 2004 to January 2008. In the control group, the routine fistulas repairs were preformed in the 50 cases of complicated hypospadias fistulas from January 1998 to February 2004 . Results All cases had been followed up for 3 - 12 months, there were no fistula in the experimental group. There were 6 fistulas in the control group. There was significant difference between two groups （P 〈 0.05）. Conclusions The use of the technique can prevent urethrocutaneous fistulas after complicated hypospadias fistulas repairs, the fistulas rate are reduced for all cases combined. The technique would be the optimal repair for complicated hypospadias fistulas.

关 键 词：尿道下裂 尿瘘 外科皮瓣 修复外科手术 

分 类 号：R658.3[医药卫生—外科学] R696[医药卫生—临床医学]