论文部分内容阅读
目的探讨尿道板卷管阴囊中隔皮瓣覆盖阴茎创面尿道成形术治疗复杂性尿道下裂的手术疗效。方法回顾性分析自2012年10月至2016年6月收治的41例复杂性尿道下裂患者,年龄4~29岁,均有1次以上的手术史,阴茎均已经伸直。21例患者采用尿道板卷管阴囊中隔皮瓣覆盖阴茎创面的尿道成形术和同期20例采用舌粘膜嵌入尿道板卷管尿道成形术式相比较。术后定期随访及尿流率检查。结果术后随访平均15个月。尿道板卷管阴囊中隔皮瓣覆盖阴茎创面的尿道成形术21例患者手术时间明显短于舌黏膜嵌入尿道板卷管尿道成形术式手术时间,P<0.01。手术的成功率无明显差异,P>0.05。结论对于阴茎已经伸直的复杂性尿道下裂患者,采用尿道板卷管阴囊中隔皮瓣覆盖阴茎创面尿道成形术是较好的选择。
Objective To investigate the curative effect of urethral cuffed scrotum septal flap covering penile wound urethroplasty in the treatment of complicated hypospadias. Methods A retrospective analysis of 41 patients with complicated hypospadias admitted from October 2012 to June 2016, aged from 4 to 29 years, had one or more surgeries and the penis had been straightened. Twenty-one patients underwent urethroplasty using urethral cuffed scrotum septal flaps to cover penile wounds compared with 20 urethroplasty using tongue-embedded urethral plate coils during the same period. Regular follow-up and urine flow rate examination. Results The average follow-up was 15 months. The urethroplasty of the urethral plaque scrotal septal flap covering the penis wounds in 21 patients was significantly shorter than that of the urethroplasty-type urethral plaque-embedded urethroplasty surgery (P <0.01). The success rate of surgery was no significant difference, P> 0.05. CONCLUSIONS: For urethral hypospadias patients who have already had their penis straight, urethral plaque scrotal septal flap covering penile wound urethroplasty is a good choice.