会阴、包皮联合岛状皮瓣治疗后段尿道下裂

One-stage urethroplasty by using perineal and preputial island flaps for hypospadias

目的 探讨后段尿道下裂一期尿道成形手术方法。方法 18例后段尿道下裂，根据尿道缺损的长度采用会阴部正中、包皮横行联合岛状皮瓣一期尿道成形术。结果 18例患儿一次手术成功16例（成功率88．9％），尿道狭窄、尿道瘘各1例，尿道狭窄患儿尿道扩张5个月好转，尿道瘘患儿术后8个月二次手术修补成功。术后随访6～26个月，患儿阴茎外观及排尿良好。结论 会阴、包皮联合岛状皮瓣一期尿道成形术是治疗后段尿道下裂的有效方法之一。

Objective To research the operation method for hypospadias by one-stage urethroplasty. Methods According to the length of urethra defect, 18 cases were operated by using one-stage urethroplasty with perineal and preputial island flaps. Results 16 cases were successful in all patients（88.9 % ）, except one case of urethrostenosis and urethral fistula respective. The case of urethrostenosis recovered by dilation of urethra after 5 months and the patient of urethral fistula was successfully repaired by operation after 8 months. All patients were followed up for 6～26 months with satisfactory penis and mieturition. Conclusion The technique of one stage urethroplasty by using perineal and preputial island flaps is the one of best choices for hypospadias.