阴茎阴囊转位合并尿道下裂分期手术修复(附43例报道)  

Surgical Correction of Penoscrotal Transposition with Hypospadias(43 Cases)

作　　者：郭秀全[1] 王养民[1] 张惠芳[1] 吕海迪 张晓峰[1] 乔够梅[1] 

机构地区：[1]兰州军区兰州总医院泌尿外科,甘肃兰州730050

出　　处：《现代生物医学进展》2014年第1期140-142,共3页Progress in Modern Biomedicine

摘　　要：目的:探讨阴茎阴囊转位合并尿道下裂的手术方法及分期手术修复的临床意义。方法 :回顾性分析2005年1月至2012年6月间兰州军区兰州总医院收治的43例阴茎阴囊转位伴尿道下裂的病例资料并分析手术方式及术后随访外观情况。结果:43例患者经2期阴囊成形术后疗效满意,其中2例伴严重尿道下裂患者经分手术后达到预期效果,术后随访6个月至7年。所有患者在阴茎阴囊复位后经同期或分期尿道成形术后最终均达到尿道下裂修复的标准。结论:阴茎阴囊转位合并尿道下裂应及早手术矫正治疗。分期手术方法使操作简化,阴茎阴囊复位整形效果满意,最终尿道成形术后预后良好,术后并发症少,是一种安全可行的手术方式,但性器官发育后易复发,术后要随访至青春期以后。Objective： To investigate the techniques ofmultistaged surgical correction ofpenoscrotal transposition with hypospad- ias and its clinical significance. Methods： Retrospective analysis 43 cases of penile serotal transposition with hypospadias in urology department of Lanzhou General Hospital of Lanzhou Command,analyze the surgical methods and postoperative appearance. Results： 43 patients satisfied with 2 staged surgical correction urethroplasty ofpenoscrotal transposition. Postoperative follow-up was conducted for 6 months-7 years. Satisfactory outcomes were achieved and reached the standard of hypospadias repair. Conclusions： Penoscrotal transposition with hypospadias should be corrected as early as possible. Urethroplasty with multistaged surgical correction ofpenoscrotal transposition simplifying the surgical peocedure which is a safe and feasible operation method with desirable penoscrotal appearance, the boys should be followed until they have passed puberty.

关 键 词：阴茎阴囊转位 尿道下裂 治疗 

分 类 号：R697.21[医药卫生—泌尿科学]