鞘膜瓣转移矫治尿道下裂术后阴茎段多发性尿瘘  

Application of tunica vaginalis flap for multi-fistulas after urethralplasty in hypospadias

作　　者：李强[1] 李森恺 周传德 李峰永 李养群 唐勇 陈文 杨哲 周宇 

机构地区：[1]中国医学科学院整形外科医院,北京100144

出　　处：《中华整形外科杂志》2011年第1期1-3,共3页Chinese Journal of Plastic Surgery

基　　金：十一五国家科技支撑计划（2006BAI05A06）

摘　　要：目的 探讨修复尿道下裂术后多发性尿瘘的一种新技术.方法 采用睾丸鞘膜瓣转移结合尿道支架管和弹性包扎治疗尿道下裂术后多发性尿瘘8例,患者均有尿瘘修补失败病史,尿瘘数量最少3个、最多7个,平均5个,分别分布在阴茎头至阴茎根部之间.结果 8例患者尿瘘均一期愈合,术后排尿及外形均良好.5例患者术后电话随访8～10个月,无尿瘘复发现象、无排尿困难及阴茎弯曲等问题.结论 睾丸鞘膜瓣转移结合尿道支架管支撑和弹性敷料包扎是治疗尿道下裂术后多发性尿瘘的一种有效方法,手术简单、效果可靠、对外形影响较小.Objective To discussed a new technique for multi-fistulas after urethraplasty in hypospadias. Methods 8 cases with postoperative multi-fistulas, which were not successfully repaired by previous treatment, were reoperated with tunica vaginalis flap combined with urethral stent and elastic dressing. The multi-fistulas were located between glan and scrotum. The number of fistulas was 3-7（median, 5 ）. Results Primary healing was achieved in all the 8 cases. The micturition and esthetic result were satisfied. 5 cases were followed up for 8-10 months with no recurrence of fistula. There was also no dysuria and penile curvature. Conclusions Tunica vaginalis flap combined with urethral stent and elastic dressing is an effective technique for multi-fistulas after urethraplasty. It is easily performed with reliable result.

关 键 词：尿瘘 鞘膜筋膜瓣 支架 

分 类 号：R699[医药卫生—泌尿科学]