尿道海绵体成形预防尿道下裂术后尿瘘的实验研究  

Effects of Spongioplasty on Fistula Prevention after Hypospadias Repair:An Experimental Controlled Study

作　　者：谢林海[1] 龙丽芸[2] 习娅琦 丁洪彪[1] 李森恺 

机构地区：[1]赣南医学院第一附属医院整形外科,江西赣州341000 [2]赣州市人民医院烧伤整形科,江西赣州341000 [3]中国医学科学院整形外科医院,北京100144

出　　处：《中国美容医学》2017年第11期56-59,共4页Chinese Journal of Aesthetic Medicine

基　　金：江西省教育厅青年科学基金(项目编号:GJJ14697)

摘　　要：目的:探讨尿道下裂修复术中尿道海绵体成形的可行性、方法及其预防尿瘘的作用。方法:14只人为诱导的先天性尿道下裂兔随机分成2组,实验组7只采用Duplay+尿道海绵体成形术进行尿道下裂修复;对照组7只仅用Duplay术式修复。术后4周观察修复效果,获取阴茎标本进行形态学比较。结果:对照组出现1例尿瘘,实验组无尿瘘发生;实验组再造尿道腹侧全长有尿道海绵体覆盖,组织厚度均值大于对照组。结论:尿道海绵体成形术较易施行,有助于预防尿瘘。Objective To investigate the feasibility, method, and fstula preventing effcacy of spongioplasty in hypospadias surgery. Methods A total of 14 congenital hypospadiac New Zealand male rabbits were randomly allocated into 2 groups. The experimental group underwent Duplay hypospadias repair surgery and spongioplasty, the control group underwent Duplay surgery only. Four weeks after surgery. After 4 weeks, we observed the repair effect and obtained the penis specimen to compare. Results Urinary fstula was encountered in 1 case （14.29%） in the control group, and none in the experimental group. Ventral tissue of the latter group was thicker than the former. Corpus spongiosum was seen covering the entire reconstructed urethra in the latter. Conclusion Spongioplasty can be applied easily, and is effectively for fstula prevention.

关 键 词：尿道下裂 尿道瘘 尿道海绵体成形术 并发症 

分 类 号：R695[医药卫生—泌尿科学]