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目的 :报道弧形带蒂包皮内板阴茎背侧皮肤联合皮瓣治疗阴囊型及会阴型尿道下裂。方法 :2 2例阴囊型及会阴型尿道下裂患者 ,均采用弧形带蒂包皮内板阴茎背侧皮肤联合皮瓣 (Ducrett +Perovic’s)制成皮管Ⅰ期成形尿道。术中常规耻骨上膀胱穿刺造瘘引流尿液 ,经尿道置F10～ 12 多侧孔硅胶管支架引流尿道分泌物 ,术后应用头孢曲松钠抗感染治疗 1周 ,保留尿道支架管 6～ 8d ,膀胱造瘘管 10～ 12d。结果 :18例Ⅰ期成功 ,4例发生尿瘘 ,均于 6个月后修补瘘管痊愈。均排尿正常 ,无痛性勃起 ,阴茎无扭转 ,腹侧无臃肿。结论 :此法治疗包皮阴茎皮肤充裕之重度尿道下裂效果确切 ,外观满意 ,是一种较好的手术方式。
OBJECTIVE: To report the scrotum and perineal hypospadias treated with conjunctival flaps of the dorsomedial penis medial plate. Methods: Twenty-two patients with scrotal and perineal hypospadias were treated with Ducrett + Perovic’s first-stage urethral catheterization. Intraoperative conventional suprapubic bladder puncture fistula drainage of urine through the urethral F10 ~ 12 multi-lateral silicone tube stent drainage of urethral secretions, postoperative ceftriaxone sodium for 1 week anti-infection treatment, retaining urethral stent tube 6 ~ 8d , Bladder fistula 10 ~ 12d. Results: 18 cases of stage Ⅰ success, 4 cases of urinary fistula occurred, were 6 months after the repair of fistula healed. All normal urination, painless erection, no torsion of the penis, ventral no bloated. Conclusion: This method is effective in treating the severe hypospadias with ample foreskin and penis. It is a good surgical method.