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目的 报道Ⅰ期治疗会阴型尿道下裂伴阴茎阴囊转位及阴囊分裂的一种新方式。方法自 1996～ 1999年共收治会阴型尿道下裂伴阴茎阴囊转位及阴囊分裂 ,且包皮短缺的有 8例 ,采用会阴部原位皮管 (Duplay)加双阴囊内侧带蒂皮瓣一期成形尿道。术中行耻骨上膀胱造瘘引流尿液 ,经尿道置支架管 ,术后应用头孢米诺钠 (80mg·kg-1·d-1)和灭滴灵 (15mg·kg-1·d-1) 1周 ,术后 1周拔除支架管 ,2周拔除引流管。结果 7例Ⅰ期成功 ,1例发生尿瘘 ,半年后经修补后痊愈 ,外观均满意。结论 此法应用解剖学的理论依据 ,对于复杂的尿道下裂有着外观功能均好的疗效 ,是一种较好的手术方式
Objective To report a new way to treat stage Ⅰ perineal hypospadias with penis scrotal transposition and scrotal disruption. Methods From 1996 to 1999, a total of 8 cases of perineal hypospadias with penile scrotal transposition and scrotal discectomy were treated. Duplay of the perineum and medial pedicle of the scrotum were used. Forming the urethra. Intraoperative suprapubic cystostomy drainage of urine, transurethral stent placement, postoperative cefminox sodium (80mg · kg-1 · d-1) and metronidazole (15mg · kg-1 · d-1) 1 week, 1 week after stent removal and 2 weeks after removal of drainage tube. Results 7 cases of stage Ⅰ success, 1 case of urinary fistula, six months after the repair healed, the appearance is satisfied. Conclusion This method is based on the anatomic theory, has a good curative effect on the appearance of complex hypospadias, and is a good surgical method