复杂性尿瘘的显微外科修复

Microsurgical management of complicate urethral fistula after hypospadias repair

目的 探讨通过显微外科技术改进手术方法、合理选用缝合材料 ,提高复杂性尿瘘的修补效果。方法 尿道下裂尿道成形术后复杂性尿瘘 2 3例 ,瘘孔直径 3～ 14mm ,瘘孔数目 3～ 5个 ,分别采用局部翻转皮瓣、皮肤黏膜预植法修复。结果 用显微外科技术修补的复杂性尿瘘 2 3例 ,Ⅰ期成功 2 2例 (95 .6 % )。结论 应用显微外科技术是治疗复杂性尿瘘较理想的方法 。

Objective To investigate the efficacy of complicate urethral fistula repair by microsurgery after hypospadias urethroplasty. Methods Twenty-three cases with complicate urethral fistula after hypospadias repair were reviewed. The diameter and number of fistula ranged from 3～14mm and 3～5, respectively. Results Successful and good cosmetic results were achieved in 22 cases (95.6%). Conclusion Management with microsurgery is one of the good procedures and may improve the successful rate for complicate urethral fistula after hypospadias repair.