显微外科修复尿道下裂术后尿道皮肤瘘  

Microsurgical repair of urethrocutaneous fistula occurred after urethroplasty in hypospadias

作　　者：徐友和[1] 刘拱喜[2] 王家琛 张家伟[1] 石磊[1] 邢梅[1] 

机构地区：[1]中国人民解放军第一○七中心医院泌尿外科,山东烟台市264002 [2]中国人民解放军第八十九中心医院

出　　处：《中华显微外科杂志》2000年第1期35-36,共2页Chinese Journal of Microsurgery

摘　　要：目的　探讨应用显微外科技术修复尿道下裂成形术后尿道皮肤瘘的治疗效果。　方法　按三种方式显微外科修复阴茎部尿道皮肤瘘37例49个瘘口:瘘口间断内翻缝合23例,横向旋转皮瓣复盖10例和带蒂阴囊皮瓣转移4例。　结果　显微外科修复一次手术成功率达89.8%(44/49),3例延期愈合,1例再次手术治愈。　结论　显微修复治疗组织损伤小,一次手术成功率和累积成功率高,明显优于传统性宏观下瘘口修补。Objective To evaluate the microsurgical results of urethrocutaneous fistula after urethroplasty for hypospadias Methods Thirty seven cases with 49 fistulae were repaired by three microsurgical methods The inversion closure technique was performed for 23 cases The transversal rotated skin flap technique was adopted in 10 cases and scrotum pedicle island flap repair was carried out in 4 cases Results The one time operation success of microsurgical repair was acquired in 44 fistulae of 33 cases with a success rate of 89 8% (44/49) 3 cases were delayed healing and one case reoperative cure Conclusions The microsurgical repair for urethrocutaneous fistula is better than the traditional macrosurgical method in success rates of one time operation and total accumulation

关 键 词：尿道下裂 尿道成形 显微外科手术 尿道皮肤瘘 

分 类 号：R699.6[医药卫生—泌尿科学]