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目的应用双面带蒂包皮瓣技术Ⅰ期修复尿道下裂。方法自1998至2009年采用双面带蒂包皮瓣技术I期修复尿道下裂85例。年龄2~18岁,平均5.2岁。其中冠状沟型27例,阴茎型50例,阴茎阴囊型8例。切除纤维束带,充分伸直阴茎,矫正下曲畸形。切取双面带蒂包皮瓣形成皮管旋转90°至阴茎腹侧重建尿道,包皮外板覆盖尿道及创面。结果本组85例患者均经一次手术获得矫治,4例术后出现尿道瘘,均在近端尿道吻合口处裂开,半年后经二次手术修补后治愈。结论本术式修复中度尿道下裂成功率高,并发症少,不失为一种好的手术方法。
Objective To apply double-sided pedicle flap to repair hypospadias in stage Ⅰ. Methods From 1998 to 2009, double-sided pedicle flap technique was used to repair 85 cases of hypospadias. Age 2 to 18 years, mean 5.2 years. Among them, there were 27 cases of coronary sulcus type, 50 cases of penis type and 8 cases of penis scrotum type. Removal of fiber band, the full extension of the penis, orthokeratology correction. Cut the double-sided pedicle flap to rotate the skin tube 90 ° to the penile ventral reconstruction urethra, foreskin cover the urethra and wound. Results The group of 85 patients were treated by a surgery, 4 cases of postoperative urethral fistula, were open proximal urethral anastomosis, six months after the second surgery to repair and cure. Conclusion This procedure for the repair of moderate hypospadias high success rate, fewer complications, after all, a good surgical method.