摘要
目的:探讨小儿阴茎阴囊转位合并尿道下裂的手术修复方法。方法:对9例阴茎阴囊转位伴尿道下裂患儿中的8例部分性阴茎阴囊转位患者,采用"M"切口阴囊成形术;7例同时行I期阴茎下曲矫正、包皮内板尿道成形;1例于3月后行II期膀胱粘膜尿道成形术;1例完全性阴茎阴囊转位患者,采用改良"M"切口联合阴囊皮肤隧道法阴茎阴囊转位术及一期右侧隐睾下降固定术。结果:随访10~60个月,9例患者阴茎无下曲,均排尿通畅(8例尿道开口于龟头),无尿瘘发生,阴茎阴囊外观满意,阴茎阴囊转位成功率为100%,无并发症发生;1例完全性阴茎阴囊转位患儿,因家庭经济原因未按时来院行II期尿道成形术。结论:对不同患者采用相应的治疗方案,是手术成功的关键。
Objective:Research on the operation treatment on 9 cases of penoscrotal transposition with hypospadias.Methods:The medical records of 9 consecutive children presenting to a single surgeon from 1999 to 2008 with penoscrotal transposition were reviewed. 7 Patients underwent a 1-stage repair using an operative.Cases not requiring further surgery were grouped as successful while cases requiring subsequent procedures were considered as complications.One patient underwent scrotoplasty first and the urethroplasty was ed on the 90th postoperative day.One complete penoscrotal transposition patient underwent scrotoplasty only.Results:After an average follow up of 10-60months all patients have not required subsequent procedures.All patients had satisfactory cosmetic results.Conclusion:We believe that a single staged repair can be safely and effectively performed even in patients with the penoscrotal hypospadias.
出处
《亚太传统医药》
2010年第3期61-63,共3页
Asia-Pacific Traditional Medicine