改良纵行带蒂包皮瓣治疗尿道下裂72例临床分析  

Clinical analysis on the modified longitudinal preputial pedicle ube for the treatment of hypospadias(Report of 72 cases)

作　　者：田义华[1] 李令勋[1] 朱延杰[1] 吕东[1] 赵鲁平[1] 代庆德[1] 

机构地区：[1]德阳市人民医院泌尿外科,四川德阳618000

出　　处：《西部医学》2013年第2期210-211,共2页Medical Journal of West China

摘　　要：目的探讨应用改良纵行带蒂包皮瓣一期尿道成形治疗尿道下裂的疗效。方法应用改良纵行带蒂包皮瓣一期尿道成形术治疗尿道下裂患者72例,均伴有阴茎下曲畸形。其中阴茎干型52例,阴茎根部型20例。结果 72例患者平均重建尿道长度2.5～6.5cm。均获术后随访3个月～1年,发生尿瘘6例,尿道狭窄2例。一期手术成功66例(91.66%)。结论改良纵行带蒂包皮瓣期尿道成形术式设计合理,皮瓣取材方便,疗效确切,并发症低,是治疗伴有尿道缺损的尿道下裂的一种较理想的手术方式。Objective To analyze the effect of the modified longitudinal preputial pedicle tube for the treatment of hypospadias, Methods From February 1998 to February 2012, 72 cases of patients with hypospadias were treated by one-stage urethroplasty with longitudinal preputial tube. Results 72 cases were followed up for 3 months to 1 year. Uri- nary fistula occurred in 6 cases while urethrostenosis occurred in 2 cases. The success rate of this one-stage operation was 91.66% （66/72）. Conclusion This operation design is a preferable method for the treatment to hypospadias with few complications.

关 键 词：尿道下裂 尿道成形 重建尿道 皮瓣 

分 类 号：R691.6[医药卫生—泌尿科学]