复杂性尿瘘的显微外科修复  

Microsurgical management of complicate urethral fistula after hypospadias repair

作　　者：可国安[1] 龙道畴[2] 

机构地区：[1]黄石市第五医院烧伤整形科,湖北黄石435005 [2]湖北医科大学附属第一医院整形科

出　　处：《实用美容整形外科杂志》2002年第1期22-23,共2页Journal of Practical Aesthetic and Plastic Surgery

摘　　要：目的　探讨通过显微外科技术改进手术方法、合理选用缝合材料 ,提高复杂性尿瘘的修补效果。方法　尿道下裂尿道成形术后复杂性尿瘘 2 3例 ,瘘孔直径 3～ 14mm ,瘘孔数目 3～ 5个 ,分别采用局部翻转皮瓣、皮肤黏膜预植法修复。结果　用显微外科技术修补的复杂性尿瘘 2 3例 ,Ⅰ期成功 2 2例 (95 .6 % )。结论　应用显微外科技术是治疗复杂性尿瘘较理想的方法 。Objective To investigate the efficacy of complicate urethral fistula repair by microsurgery after hypospadias urethroplasty. Methods Twenty-three cases with complicate urethral fistula after hypospadias repair were reviewed. The diameter and number of fistula ranged from 3～14mm and 3～5, respectively. Results Successful and good cosmetic results were achieved in 22 cases (95.6%). Conclusion Management with microsurgery is one of the good procedures and may improve the successful rate for complicate urethral fistula after hypospadias repair.

关 键 词：复杂性 尿瘘 显微外科修复 尿道下裂 

分 类 号：R616[医药卫生—外科学]