阴茎阴囊皮瓣在尿道下裂治疗中的应用  

Penile and scrotal skin flaps:First choice for urethroplasty in the treatment of hypospadias

作　　者：张征宇[1] 高建平[1] 葛京平[1] 周水根[1] 周文泉[1] 魏武[1] 马宏青[1] 

机构地区：[1]南京军区南京总医院泌尿外科,江苏南京210002

出　　处：《中华男科学杂志》2010年第8期730-731,共2页National Journal of Andrology

摘　　要：目的:探讨阴茎阴囊皮肤尿道成形治疗尿道下裂的可行性。方法:尿道下裂23例,年龄3.5～19.0(平均6.8)岁。完全采用阴茎阴囊皮肤尿道成形治疗尿道下裂,随访6年进行回顾性分析。结果:23例患者一次手术成功21例(91.3%),2例术后出现尿瘘需再次手术治疗,1例出现尿道狭窄。结论:阴茎阴囊皮肤以其材料丰富,血供良好,手术成功率高而被认为是治疗尿道下裂尿道成形的首选材料。Objective ：To explore the feasibility of the treatment of hypospadias with penile and scrotal skin flaps. Methods ：Twenty-three hypospadias patients aged 3.5-19 （mean 6.8） years underwent urethroplasty with penile and scrotal skin flaps. All were followed up for 6 years and analyzed retrospectively. Results ：Of the total number of patients,21 （91.3%） succeeded in one operation and the other 2 developed complications,including urethral fistula and urethral structure. Conclusion ：Penile and scrotal skin,advantageous for its adequacy,rich blood supply and contribution to high success rate of surgery,is believed to be the first choice for urethroplasty in the treatment of hypospadias.

关 键 词：尿道下裂 尿道成形术 阴茎阴囊皮肤 

分 类 号：R699[医药卫生—泌尿科学]