阴囊纵隔皮瓣代尿道治疗尿道下裂45例报告  

One-stage repair of hypospadias using scrotal septal pedicel flap (report of 45 cases)

作　　者：洪钟亮 江明友 朱选文[2] 

机构地区：[1]桐庐县第一人民医院外科,浙江桐庐311500 [2]浙江大学医学院附属第一医院泌尿外科,浙江杭州310006

出　　处：《现代泌尿外科杂志》2004年第2期91-92,共2页Journal of Modern Urology

摘　　要：目的　探讨带蒂阴囊纵隔皮瓣I期修复尿道下裂的方法及并发症的防治。方法　对 4 5例应用带蒂阴囊纵隔皮瓣I期修复尿道下裂术式治疗的患者的资料进行了分析。结果　 4 5例一次手术治愈 4 3例 ,2例术后并发尿瘘 ,1例尿道外口狭窄 ,手术成功率 95 %。结论　带蒂阴囊纵隔皮瓣血运丰富 ,成形尿道愈合力强 ,合并症少 ,尿道口能达正位 。Objective To explore the method and prevent complication with one-stage repair of hypospadias using scrotal septal pedicel flap. Methods A total of 45 cases with one-stage repair were analyzed. Results 43 patients were cured after one operation, with the successful rate being 95%. Single urethral fistula occurred in 2 patients.One patient had stenosis of meatns. Conclusion Scrotal flap is rascular, whose blood circulation is abundant. The healing ability of neo-urethra is strong. The complication is rare. This type of operation can complete the correcetion of clubbed penis and urethroplasty in one stage. The opening of neo-urethra can reach normal anatomic place.The contours of penis are good.

关 键 词：阴囊纵隔皮瓣代尿道术 外科治疗 尿道下裂 并发症 带蒂阴囊纵隔皮瓣 Ⅰ期修复术 

分 类 号：R696[医药卫生—泌尿科学]