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我院自1991年3月～1992年4月,应用去表皮阴囊瓣加强覆盖法,修复尿瘘及尿道下裂共11例,效果良好,现介绍如下。1 手术方法尿瘘修补术:绕尿瘘口行环形切口,切除瘘管及其周围瘢痕组织,6-0无损伤缝合线内翻缝合,修补瘘口。根据瘘口的大小和部位切取阴囊皮瓣,将阴囊皮瓣剪去表皮,6-0无损伤缝合线缝合固定覆盖于尿瘘修补处。阴茎近侧的尿瘘采用推进皮瓣法(图1)。阴茎远侧的尿瘘采用转移皮瓣法,皮瓣
Our hospital from March 1991 to April 1992, the application of debridement scrotal flap to strengthen the coverage method, repair of urinary fistula and hypospadias in 11 cases, the effect is good, are presented below. 1 surgical fistula repair: around the urinary fistula ring incision, removal of fistula and its surrounding scar tissue, 6-0 no damage suture varus suture, repair fistula. According to the size and location of fistula scrotal skin flap, scrotal skin flap cut the epidermis, 6-0 non-destructive suture suture fixation covering the fistula repair. Near the penis urinary fistula using propulsion flap method (Figure 1). Urinary fistula distal to the penis using the transfer flap method, flap