尿道板正中纵切移植皮片卷管尿道成形术治疗尿道下裂

The median longitudinal urethral plate skin graft urethroplasty.

目的探讨尿道板正中纵切后在皮损区移植皮片卷管尿道成形术治疗尿道下裂的疗效及优势。方法2010年3月至2012年10月应用尿道板正中纵切移植皮片卷管尿道成形术治疗尿道下裂23例，其中阴茎体型19例，阴茎阴囊型2例，外院行一期阴茎矫直术后1例，手术后尿道裂开1例；年龄1．5—6．0岁，平均年龄3．75岁，均采取尿道板正中纵切后在皮损区移植皮片卷管尿道成形术治疗。结果患儿均顺利完成手术，均于出院后随访6个月，所有患儿阴茎外观形似包皮环切术后，尿道外口位于阴茎头尿道沟正位，呈裂隙状。一期治愈22例（95．7％），术后尿道瘘1例，1个月后自愈；无尿道狭窄发生。结论尿道板正中纵切移植皮片卷管尿道成形术治疗尿道下裂效果满意，一期愈合率高，术后并发症的发生率较低，方法简单，容易开展。

Objetive To study of urethral plate median longitudinal skin graft of urethroplasty for hypo- spadias in prevention of urethral stricture and other aspects of the advantages and the application value. Meth- ods A retrospective summary of 2010 March to 2012 October using urethral plate median longitudinal skin graft of urethroplasty for hypospadias in 23 cases. 19 cases of penile type, 2 cases of penis and scrotum type, and a period of penile straightening after operation in 1 cases, 1 cases of postoperative urethral dehiscence , the clini- cal data analysis.. This group of children aged 1.5 ~ 6 years old, the average age of 3.75 years. Results In this group of patients were followed up for 6 months, resembling a penis after circumcision appearance. Exter- nal orifice of Urethra Urethral groove is located in the penis head, a slit like. A cure in 22 cases （95.7%）, postoperative urethral fistula in 1 cases, in January after the self-healing; without urethral stricture. Conclu- sions Urethral plate median longitudinal skin graft of urethroplasty for hypospadias with satisfactory results, healing rate was high, the incidence of postoperative complications was low, especially effective in the preven- tion of postoperative urethral stricture occurred, and the method is simple and easy to carry out.