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目的提高先天性尿道下裂术后尿道憩室的诊治水平。方法先天性尿道下裂术后尿道憩室患者26例,年龄3～22岁,平均5岁。5例伴尿道皮肤瘘,10例伴尿道道狭窄,1例伴尿道结石。采用憩室切除,修补尿道瘘,尿道狭窄,取出结石,并行肉膜瓣覆盖成形尿道。结果随访1、2年,25例全部一次手术成功,1例术后出现尿瘘,再次手术治愈。立位排尿通畅。结论先天性尿道下裂术后尿道憩室少见,多见于近端型尿道下裂修补术后。切除憩室后成形尿道外覆盖肉膜瓣是治疗尿道下裂术后尿道憩室的有效方法。
Objective To improve the diagnosis and treatment of urethral diverticulum after congenital hypospadias. Methods Twenty-six cases of urethral diverticulum after congenital hypospadias were aged 3-22 years old with an average age of 5 years. 5 cases with urethral skin fistula, 10 cases with urethral stricture, 1 case with urethral calculus. Diverticulum resection, urethral fistula repair, urethral stricture, remove the stones, the formation of plastic membrane covered urethra. Results All cases were followed up for 1 and 2 years. Twenty-five cases were successful in one operation. Urinary fistula was found in one case and cured again. Standing urination smooth. Conclusions Congenital hypospadias postoperative urethral diverticulum rare, more common in proximal hypospadias repair. Removal of diverticula after forming the outer membrane of the urethra is the treatment of hypospadias postoperative urethral diverticulum effective method.