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目的:探讨多次手术失败后尿道下裂的治疗方法。方法:自2000年起应用植皮法再造尿道25例,取阴囊或腹股沟中厚皮片缝合固定于阴茎腹侧白膜,卷管再造尿道,并行龟头成形术。用带侧孔单腔硅胶导尿管支撑3～6个月。半年后行尿道吻接术。结果:1例患者手术后出现尿道口狭窄,行尿道外口切开术。2例发生尿瘘,其余无并发症发生,阴茎形态佳,尿道口为矢状裂隙。结论:会阴皮肤适合再造尿道,结合带侧孔单腔硅胶导尿管支撑是治疗复杂尿道下裂的较好方法,有推广价值。
Objective: To investigate the treatment of hypospadias after multiple failed operations. Methods: Twenty-five cases of urethra were implanted by skin grafting since 2000, and the scrotal or inguinal mid-thickness skin was sutured and fixed on the penis ventral white membrane. The wound urethra was reconstructed and the glansoplasty was performed. With a side hole single-lumen silicone catheter support 3 to 6 months. Six months after urethral kissing. Results: One patient had urethral stenosis after operation and had urethral incision. 2 cases of urinary fistula occurred, the rest without complications, penis morphology is good, the urethra is sagittal fissure. Conclusion: The perineal skin is suitable for reconstructing the urethra. Combined with the single-hole silicone catheter with lateral holes is a good way to treat complex hypospadias, which has the promotion value.