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目的 :介绍采用阴茎腹侧阴囊纵隔联合皮管治疗会阴型尿道下裂新方法。方法 :从阴茎腹侧和阴囊纵隔取皮瓣 ,冠状沟下向两侧取与阴茎腹侧皮瓣相连的皮瓣 ,连续缝合皮瓣并包绕尿管形成皮管 ,皮管远端穿过隧道与龟头顶端作缝合固定 ,形成新的尿道。结果 :15例中 ,一次手术成功 12例 ,成功率 80 %。 2例术后尿瘘 ,1例龟头部尿道狭窄。结论 :阴茎腹侧阴囊纵隔皮管 ,操作简便 ,易于掌握 ,且尿道开口于龟头顶部 ,符合尿道下裂的治疗标准 ,是一种治疗会阴型尿道下裂的良好方法。
Objective: To introduce a new method of treatment of perineal hypospadias by penile ventral scrotum and mediastinal tube. Methods: From the ventral penumbra and scrotal septum to take the flap, the coronary sulcus to both sides of the flaps connected with the penis ventral flap, continuous suture flap and wrap around the ureter to form a skin tube, distal skin through Tunnel and glans head for suture fixation, the formation of a new urethra. Results: Of the 15 cases, 12 cases were successful in one operation, the success rate was 80%. 2 cases of postoperative urinary fistula, 1 case of glans urethra stenosis. CONCLUSION: The penis ventral scrotal mediastinal tube is simple and easy to manipulate. The urethra is open at the top of the glans penis and meets the standard of treatment for hypospadias. It is a good method for the treatment of vulvar hypospadias.