X-V皮瓣法治疗成年人尿道下裂术后尿瘘  

The use of X-V dartos flap technique in the treatment of adult urethrocutaneous fistula after failed bypospadiax repair

作　　者：邹自灏[1] 黄伟佳[1] 李育彬[1] 潘兆君[1] 

机构地区：[1]广州医学院第三附属医院泌尿外科,510150

出　　处：《中国医师进修杂志》2011年第17期6-7,共2页Chinese Journal of Postgraduates of Medicine

摘　　要：目的评价X—V皮瓣法在成年人尿道下裂术后尿瘘修补术中的疗效。方法选取2007年2月至2010年10月收治的22例成年人尿道下裂术后尿瘘患者作为试验组，修复手术中采用X-V皮瓣法；选取2000年1月至2007年1月收治的35例成年人尿道下裂术后尿瘘患者作为对照组，在修复手术中采用常规尿瘘修补术。比较两组术后的疗效。结果随访3～49（5．6±12．0）个月，对照组术后7例再次出现尿瘘，尿瘘发生率为20．0％（7／35）；试验组术后无一例出现尿瘘；两组尿瘘发生率比较差异有统计学意义（P〈0．05）。结论在成年人尿道下裂术后尿瘘修补术中，采用X-V皮瓣法提高了手术成功率，降低了术后尿瘘发生率。Objective To analyze the curative effect of adult urethrocutaneous fistula after hypospadias repair with X-V dartos flap technique. Methods In the experimental group, the closed fistulas were wrapped with X-V dartos flap in the 22 Cases of adult hypospadias fistulas from February 2007 to October 2010. In the control group, the routine fistulas repairs were preformed in the 35 cases of adult hypospadias fistulas from January 2000 to January 2007. The operative effects were compared between the two groups. Resets All cases were followed up for 3-49 （5.6 ±12.0） months, no fistula was found in the experimental group, while 7 fistulas （20.0% ,7/35） were found in the control group. The fistulas rate had statistic difference between the two groups（P 〈 0.05 ）. Conclusion The use of the X-V dartos flap technique can prevent adult urethrocutaneous fistula after failed hypospadias fistulas repair and raise the success rate.

关 键 词：尿道下裂 尿瘘 外科皮瓣 修复外科手术 

分 类 号：R726.9[医药卫生—儿科]