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目的探讨提高尿道下裂术后尿道瘘修补成功率的方法。方法总结216例尿道下裂尿道成形术后尿道瘘采取不同手术方法进行修补的临床经验。其中小尿瘘162例,采用简单切开缝合法和Y-V皮瓣覆盖尿瘘修补术;大尿瘘54例应用Thiersch、Snodgrass、Duckett、Duplay、Mathieu和阴囊中隔皮瓣法等进行修补。结果术后随访0.5～8.0a,一次修补成功率92.7%,其中大瘘87%,小瘘94%。结论尿道下裂术后尿道瘘修补术的手术方法多种多样,而手术方法的正确选择对提高手术成功率至关重要,应按照尿瘘的大小、位置、数量和局部条件选择不同的手术方法,以最大程度的提高手术成功率。
Objective To explore the method of improving the success rate of urethral fistula repair after hypospadias operation. Methods A total of 216 cases of urethral fistula after hypospadia urethral fistula surgery to take different clinical experience. Among them, 162 cases of small urinary fistula were repaired by simple incision suture and Y-V flap covering the fistula; 54 cases of large fistula were repaired by Thiersch, Snodgrass, Duckett, Duplay, Mathieu and scrotal septal flap. Results Postoperative follow-up 0.5 ~ 8.0a, a successful repair rate of 92.7%, of which 87% of fistula, fistula 94%. Conclusion The surgical methods of urethral fistula repair after hypospadias are various. However, the correct choice of surgical methods is very important to improve the success rate of operation. Different surgical methods should be chosen according to the size, location, quantity and local conditions of urinary fistula, To maximize the success rate of surgery.