目的 :探讨横行带蒂包皮瓣尿道成形术治疗尿道下裂的疗效。方法 :对 12例Ⅰ、Ⅱ型尿道下裂患者行横行带蒂包皮瓣尿道成形术。结果 :随访 3～ 2 4月 ,治愈 10例 ,治愈率 83.3% ;出现尿道瘘 1例 ,发生率 8.3% ;出现尿道狭窄 1例 ,发生率 8.3%。结论 :横行带蒂包皮瓣尿道成形术设计合理 ,手术成功率高 ,外观佳 ,效果好 ,可作为Ⅰ、Ⅱ型尿道下裂治疗的首选方法。 Objective: To investigate the curative effect of transverse pedicle flap urethroplasty in the treatment of hypospadias. Methods: Twelve patients with type Ⅰ and type Ⅱ hypospadias underwent transcortical pedicle flap urethroplasty. Results: 3 to 24 months follow-up, 10 cases were cured, the cure rate was 83.3%; urethral fistula occurred in 1 case, the incidence rate of 8.3%; urethral stricture occurred in 1 case, the incidence rate of 8.3%. Conclusion: Transverse pedicle flap flap urethroplasty is reasonable design, high success rate, good appearance and good effect, which can be used as Ⅰ, Ⅱ hypospadias preferred method of treatment.