利用背侧包皮一期修复21例尿道下裂

ONE-STAGE TREATMENT OF 21 CASES HYPOSPADIAS WITH DORSAL PREPUCE COVER

目的分析在阴囊皮瓣尿道成型术中背侧包皮的临床利用价值。方法收集采用上述方法治疗的21例尿道下裂患儿临床及术后随访资料,分析总结手术治疗效果及术后并发症发生情况。结果一期手术治愈18例,外形效果比较满意,治愈率85.7%,其中冠状沟型5例,阴茎体型16例。术后尿道狭窄1例,尿道瘘2例。结论在阴茎、阴囊纵隔皮瓣尿道成形术基础上进行改良,利用背侧包皮覆盖在腹侧并包埋重建尿道的尿道成型的新方法,一期修复尿道下裂,疗效满意,方法简单,并发症少,易于掌握,值得临床推广应用。

Objective： To discuss the clinical value of the dorsal prepuce in the scrotal skin flap urethroplasty. Methods：The clinical and post-operation follow-up visit data of the 21 cases of the hypospadias patients treated with the above-mentioned method were collected. Results：In one-stage operation, there are 18 successful cases with satisfying shape effect and a cure rate of 85.7%, in which there are 5 cases of coronary groove type, 16 cases of penile type. There are postoperative 1 case of urethral stricture and 2 cases of urethral fistula. Conclusion：Improved on the bases of the penile, scrotal mediastinal flap urethroplasty, it is a new method in the advantage of the dorsal prepuce’s covering the veutri and burying and rebuilding the urethra in the expectation of getting the hypospadias recovered in the first round operation. This treatment is proved to be simple, easy with satisfying curative effect, which is of great value to be extensively promoted and applied.