改良Cantwell-Ransley方法修复尿道上裂37例报告  

Modified Cantwell-Ransley procedure for epispadias repair in 37 patients

作　　者：威力江·赛买提[1] 拜合提亚·阿扎提[1] 木拉提·热夏提[1] 王文光[1] 王玉杰[1] 

机构地区：[1]新疆医科大学第一附属医院泌尿外科,乌鲁木齐,830054

出　　处：《中华泌尿外科杂志》2015年第4期307-309,共3页Chinese Journal of Urology

摘　　要：目的 探讨改良Cantwell-Ransley方法在单纯尿道上裂及膀胱外翻尿道上裂综合征中的应用经验及疗效.方法 尿道上裂患者37例,年龄1～33岁,平均6.6岁,均为男性.其中13例为单纯性尿道上裂,24例合并膀胱外翻.24例合并膀胱外翻者中9例行膀胱外翻尿道上裂一期修复术,15例行尿流改道术.均采用改良Cantwell-Ransley方法修复尿道上裂.结果 37例术后随访6个月～3年,平均1年.所有患者阴茎外观理想,有正位尿道开口.术后发生1例阴茎头缺血坏死,3例尿瘘和1例包皮感染坏死.无新卷尿道裂开.结论 改良Cantwell-Ransley法修复尿道上裂安全、有效,术后阴茎外观满意,排尿情况良好.Objective To present the outcomes of modified Cantwell-Ransley procedure in 37 patients with isolated epispadias and exstrophy complex.Methods A total of 37 patients underwent modified Cantwell-Ransley epispadias repair.The median age at surgery was 6.6 years （range 1-32）.Of the 37 patients,13 patients had isolated penopubic epispadias and 24 had bladder exstrophy with no previous attempts at epispadias repair.Nine patients with exstmphy complex underwent complete primary repair,while other 15 cases received urinary diversion.Results The patients were followed up for 6 months to 3 years （mean,12 months）.All patients had normal conical symmetric glans/corpora and an orthotopic meatus.The complications included glans/corporal ischemia （1 case）,urethral fistula （3 cases）,and foreskin infection （1 case）.Conclusions Modified Cantwell-Ransley procedure is safe and effective for epispadias repair.Cosmetic appearance and functional outcomes of the penis are encouraging.

关 键 词：尿道上裂 膀胱外翻 改良Cantwell-Ransley术式 

分 类 号：R699.6[医药卫生—泌尿科学]