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目的:探讨改良横Y-V皮瓣法在尿道瘘修补术中的应用效果。方法:2012年6月~2014年6月采用改良横Y-V皮瓣法尿道瘘修补术治疗尿道下裂术后尿道瘘患者44例(试验组),并与同期行Y-V皮瓣法尿道瘘修补术的40例患者(对照组)进行比较。结果:随访6~12个月,试验组44例术后出现尿瘘5例,复发率为11.36%;对照组40例术后出现尿瘘8例,复发率为20.00%,两组比较,差异有统计学意义(P<0.05)。结论:在尿道下裂术后尿道瘘修补手术中,采用改良横Y-V皮瓣法尿道瘘修补术能明显降低术后尿道瘘复发率,提高尿瘘修补手术的成功率。
Objective: To explore the application of modified transverse Y-V flap in urethral fistula repair. Methods: From June 2012 to June 2014, 44 patients with urethral fistula (experimental group) underwent urethral fistula repair by modified transverse YV flap method were treated with urethral fistula repair (YV flap method) Of 40 patients (control group) were compared. Results: During the follow-up of 6 to 12 months, 5 cases of urinary fistula occurred in 44 cases in the experimental group, the recurrence rate was 11.36%. In the control group, 40 cases of urinary fistula occurred after operation, the recurrence rate was 20.00%. There were statistics differences between the two groups Significance (P <0.05). Conclusion: In the urethral fistula repair surgery after hypospadias, the modified transverse Y-V flap urethral fistula repair can significantly reduce the recurrence rate of postoperative urethral fistula and improve the success rate of urostomy repair surgery.