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尿道下裂是小儿较常见畸形,手术方法繁多,膀胱粘膜尿道成形术最主要的优点是在各种类型的病儿均可一期矫治阴茎下弯和尿道成形,而且膀胱粘膜取材方便。自1975年来国内多有报道。现总结1972～1980年5月用膀胱粘膜尿道成形术治疗小儿尿道下裂125例的体会,并着重讨论并发症的预防如下。临床资科本组125例中手术年龄3～6岁59例,7～14岁66例。其中113例一期完成阴茎下弯矫治和尿道成形,12例因过去已做了下弯矫正,只行膀胱粘膜尿道成形术。107例治愈出院,尿道瘘未愈出院者13例,严重尿道狭窄者5例。术后满1年以上获得随诊者57例,随诊时间最长8年。随诊结果:下弯完全矫正,阴茎能伸直勃起者53例,仍稍有下弯者4例。排尿通畅者54例;排尿困难者3例,其中2例已做了狭窄阻塞部切开。尿道成形术后尿瘘未愈者7例。前尿道假性憩室4例。尿道外口较窄者7例。有并发症者多是早年的病例。近4年来上列并发症已很少发生。
Hypospadias is a common deformity in children, many surgical methods, the most important advantage of bladder mucosal urethroplasty is that in all types of sick children can be a correction of penile and urethral formation, and easy access to the bladder mucosa. Since 1975, many domestic reports. Are summarized from 1972 to May 1980 with bladder mucosal urethroplasty 125 cases of pediatric hypospadias experience and focus on the prevention of complications are as follows. Clinical data of 125 cases in this group of 59 patients aged 3 to 6 years old, 66 cases of 7 to 14 years old. Among them, 113 cases completed the treatment of penile hypospadias and urethroplasty in the first phase. Twelve cases had been corrected for hypospadias in the past, and only bladder mucosa urethroplasty was performed. 107 cases were cured, 13 cases of urethral fistula healed, 5 cases of severe urethral stricture. 57 cases were followed up for more than 1 year after operation, the longest follow-up time was 8 years. Follow-up results: the next bend completely corrected, penile can be straight erection in 53 cases, still a slight bend in 4 cases. Voided voiding in 54 cases; dysuria in 3 cases, of which 2 cases had a narrow obstruction cut. Urethral urethroplasty after hemorrhage in 7 cases. 4 cases of anterior urethral pseudo-diverticulum. Narrow urethral orifice in 7 cases. Complications are mostly early cases. In the past 4 years, the above complications have seldom occurred.