游离包皮内板尿道成形术治疗尿道下裂  

Free Foreskin Urethroplasty for Hypospadias

作　　者：徐哲[1] 张志崇[1] 苏诚[1] 刘文旭[1] 谢家伦[1] 周李[1] 莫家骢[1] 

机构地区：[1]中山大学附属第一医院小儿外科,广东广州510080

出　　处：《中山大学学报（医学科学版）》2009年第5期577-580,共4页Journal of Sun Yat-Sen University:Medical Sciences

摘　　要：【目的】总结用游离包皮内板做为人工尿道移植物治疗尿道下裂的方法及疗效。【方法】分析本科室1992年1月至2007年9月对580例尿道下裂患儿,包括阴茎体型412例,阴茎阴囊交界型130例,阴囊型38例行游离包皮内板一期尿道成形术的治疗方法和效果等临床资料。【结果】游离包皮内板一期尿道成形术后阴茎伸直及外观满意,尿道口位置正常。术后92例发生尿瘘,18例发生尿道狭窄,总体成功率为81.7%。其中阴茎体型术后发生尿瘘69例(16.7%),尿道狭窄11例(2.6%);阴茎阴囊交界型术后尿瘘17例(13.1%),尿道狭窄5例(3.9%);阴囊型术后尿瘘6例(15.8%),尿道狭窄2例(5.3%)。【结论】游离包皮内板尿道成形是很好的治疗尿道下裂的方法,具有术后恢复快,阴茎外观满意,尿道狭窄、尿瘘等并发症少等优点。【Objective】 To summarize the methods and results of urethroplasty by using free foreskin for hypospadias repair. 【Methods】 From January 1992 to September 2007, 580 consecutive pediatric hypospadias patients were performed one-stage urethroplasty by using free foreskin as urethral graft, including 412 penile type, 130 penoscrotal type, 38 scrotal type. Free foreskin which were taken during the operation were 1 cm to 8 cm long and 1.8 cm to 2 cm wide to perform urethroplasty. 【Results】 The straightening and outlook of the penis were satisfied, the meatus located at normal position after operation. Seventy cases presented with urinary fistula and 12 cases with urinary stricture after operation. The total success rate was 81.7% by using free foreskin. There were 69 cases （16.7%） with fistula and 11 （2.6%） with urethral stenosis after operation in penile type, 17 （13.1%） with fistula and 5 （3.9%） with urethral stenosis in penoscrotal type, 6 （15.8%） with fistula and 2 （5.3%） with urethral stenosis in scrotal type. 【Conclusions】 It is satisfied to treat hypospadias with free foreskin, patients recover soon and less complications such as urethral stenosis and fistula after operation will be occur.

关 键 词：尿道下裂 包皮 尿道成形术 

分 类 号：R628[医药卫生—整形外科]