男性尿道异位开口于肛管的矫治  

Treatment of Male Ectopic Urethra Opening on Anal Tube

作　　者：周海孝[1] 龙道畴[1] 龙云[2] 朱辉[2] 

机构地区：[1]武汉大学人民医院整形外科,湖北武汉430060 [2]北京大学深圳医院整形外科,广东深圳518036

出　　处：《武汉大学学报（医学版）》2012年第4期594-596,共3页Medical Journal of Wuhan University

摘　　要：目的:探讨男性尿道异位开口于肛管的矫治方法和临床效果。方法:13例尿道异位开口于肛管的男性患者,6例伴睾丸位置异常,2例伴阴茎、阴囊异位。采用分期手术:一期手术行阴茎弯曲矫正,阴茎包皮内板和阴茎背筋膜皮瓣或游离口腔黏膜瓣预置于阴茎腹侧和阴囊处;二期手术将尿道从肛管处分离,采用一期预置组织重建尿道并在接合点行端端吻合,阴茎阴囊异位者行转位手术。结果:13例患者术后形态接近正常,重建尿道长度6-10.5cm,平均8.4cm,手术成功率69.2%(9/13),其中3例并发尿道皮肤瘘,1例尿道狭窄。结论:通过分期手术方式,可以将尿道从肛管完整分离并重建缺损尿道,恢复男性正常生理功能。Objective： To investigate the surgical techniques and surgical outcomes of male ectopic urethra opening anal tube.Methods： Thirteen male cases of ectopic urethra（6 cases accompanied with abnormal testicular position and 2 cases with penoscrotal transposition） were treated in our department.All the patients underwent two-stage repair techniques.The penile corpus cavernosum was completely stretched out and uprighted in the first-stage.Foreskin and partial penis back skin was transferred into the ventral of penis and scrotum crack.At the second-stage,after separating the urinary tract from the rectum,urethroplasty was performed using transferring flap to reconstruct the urethra in each patient.Results： The operation＇s successful rate was 69.2%（9/13）.There were 3 ceases（3/13） suffered from urethroeutaneous fistula and recovered after repair.Stricture of urethra occurred in one case（1/13） and was treated by urethra dilatation.The appearance of penis and scrotum in 13 cases was satisfying.Conclusion： The operative methods should be made according to the birth gender.The surgical techniques were effective on the male ectopic urethra,even for the patients who need more than 10 cm urethra reconstruction.The appearance of penis and scrotum were satisfying after following up.

关 键 词：尿道畸形 肛管 尿道重建 

分 类 号：R628[医药卫生—整形外科]