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目的观察游离包皮内板治疗不伴尿道下裂的阴茎下弯畸形的临床效果及应用价值。方法以佛山市顺德区第一人民医院2000年7月至2012年1月期间收治的18例不伴尿道下裂的阴茎下弯畸形患者为研究对象。所有患者均行游离包皮内板治疗术治疗。结果在1～5年期间,追踪随访本组18例患者术后阴茎弯曲的矫正情况。结果显示患者手术成功率为83.33%。无患者出现排尿异常情况及尿道狭窄症状。其中1例患者出现切口感染并发症,经抗感染换药处理后得到恢复。2例患者出现术后尿瘘并发症,经再次手术尿瘘修补治愈。结论游离包皮内板术与传统手术治疗方式相比,具有手术成功率高、术后感染率低、尿道狭窄和尿瘘并发症少等优点,在不伴尿道下裂的阴茎下弯畸形的治疗中,具有较高的临床应用价值。
Objective To observe the clinical effect and application value of free foreskin plate in the treatment of penile inferior deformity without hypospadias. Methods 18 patients with penile inferior deformity who did not have hypospadias admitted to the First People’s Hospital of Shunde District of Foshan from July 2000 to January 2012 were enrolled in this study. All patients underwent free foreskin treatment. Results During the first 5 to 5 years, the correction of penile curvature in 18 patients was followed up. The results showed that the success rate of patients was 83.33%. No patient had abnormal urination and urethral stricture symptoms. One case of incision infection complications occurred after anti-infective dressing was restored. Two cases of postoperative complications of urinary fistula, cured by reoperation of the fistula. Conclusion Compared with the traditional surgical treatment of free foreskin in the plate, with high success rate of surgery, postoperative infection rate, urethral stricture and less complications of urinary fistula in the treatment of hypospadias without hypospadias , With high clinical value.