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目的探讨阴囊、阴茎、会阴联合皮瓣一期成型术治疗先天性尿道下裂的临床疗效。方法将2010年1月-2010年12月间我院先天性尿道下裂患儿44例随机分为两组,实验组行阴囊、阴茎、会阴联合皮瓣一期成型术,对照组行一期阴茎下弯矫正术、二期尿道成形术,随访半年记录两组患儿临床治愈率及并发症情况。结果实验组临床治愈率明显高于对照组;实验组术后出现尿道外口狭窄1例、尿瘘1例,对照组出现切口感染2例、尿道外口狭窄3例、尿瘘3例,均对症治疗后,排尿改善良好。结论阴囊、阴茎、会阴联合皮瓣一期成型术具有手术成功率高、并发症少、外形美观良好等特点,可在临床推广运用。
Objective To investigate the clinical effects of primary sclerosis, penis and perineal flap in the treatment of congenital hypospadias. Methods 44 cases of children with congenital hypospadias in our hospital from January 2010 to December 2010 were randomly divided into two groups. The experimental group underwent one-stage operation of scrotum, penis and perineum combined flap, Penile correction, two urethroplasty, followed up for six months to record the clinical cure rate and complications in both groups. Results The clinical cure rate of the experimental group was significantly higher than that of the control group. One case of urethral stricture and one case of urinary fistula occurred in the experimental group. There were 2 cases of incision infection, 3 cases of urethral stricture and 3 cases of urinary fistula in the experimental group After urination improved well. Conclusion One-stage operation of scrotum, penis and perineum combined flap has the advantages of high operation success rate, less complications and good appearance, which can be widely used in clinical practice.