Onlay-tube-onlay术治疗中重度尿道下裂的临床体会

来源 :2015中华医学会整形外科学分会第十四次全国学术交流会暨第五届中国(福州)ISAPS美容整形外科高级研讨会 | 被引量 : 0次 | 上传用户:yu0426
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  目的:Onlay-tube-onlay术在治疗中重度尿道下裂的临床应用体会.方法:回顾性分析2013年10月至2014年8月我院应用Onlay-tube-onlay尿道成形术式治疗的10例中重度尿道下裂患儿临床资料,年龄7月27天-5岁10月不等,脱套并横断尿道板完全矫直阴茎下曲后测得尿道缺损长度3.5-5.0 cm,均为第一行手术治疗中重度尿道下裂患儿,体检发现阴茎下曲明显,部分合并阴囊分裂,术中横断尿道板、背侧白膜紧缩完全矫直阴茎下曲,根据测得尿道缺损长度常规留取背侧包皮内板岛状皮瓣,转移至腹侧,近端加盖至尿道口及尿道板,龟头处尿道板加盖,中间卷管完成尿道成形.术后常规留置8Fr导尿管,住院12天.结果:术后随访数月-1年余,其中2例尿瘘,尚无尿道狭窄、尿道憩室病例发生.外观满意.
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