目的报道应用显微外科技术采用不同手术方法修复尿道瘘的治疗效果。方法二种术式修复尿道皮肤瘘25例,共28个瘘口,一是采用三层内翻间断缝合法治疗；二是采用去表皮阴囊隔皮瓣法修复。结果显微外科修复一次成功率92%,1例延期愈合。结论采用显微外科技术和最佳手术方法．修复尿道皮肤瘘,是手术成功的关键。 Objective To report the application of microsurgical techniques in the treatment of urethral fistula with different surgical methods. Methods Two kinds of surgical repair of urethral skin fistula in 25 cases, a total of 28 fistula, one is the use of three layers of interrupted suture method; the second is the use of de-epidermal scalp flap repair. RESULTS: The success rate of microsurgery repair was 92%. One case had delayed healing. Conclusion The use of microsurgery and the best surgical methods. Repair of urethral skin fistula, the key to successful surgery.