论文部分内容阅读
目的评价一期膀胱粘膜和阴囊隔岛状皮瓣在尿道下裂修复术中的优缺点。方法 131例尿道下裂病例中 ,初次手术组 10 8例 ,采用阴囊隔岛状皮瓣尿道成形术 37例 ,膀胱粘膜尿道成形术 71例 ;再次手术组 2 3例 ,全部采用膀胱粘膜尿道成形术。结果 1次手术成功率 85 .5 %;尿瘘 19例 (14 .5 %)。初次手术组与再次手术组的成功率 85 .2 %:86 .9%,差异无显著性意义。应用膀胱粘膜与阴囊隔岛状皮瓣尿道成形术后尿瘘的发生率 14 .9%:13.5 %,差异无显著性意义。结论膀胱粘膜和阴囊隔岛状皮瓣法适合于各种类型尿道下裂。手术成功的关键在于术者对术式的熟练程度和围手术期对每个环节的恰当处理。
Objective To evaluate the advantages and disadvantages of primary bladder mucosa and scrotal island flap in hypospadias repair. Methods One hundred and thirteen cases of hypospadias were enrolled in this study. Of the 108 cases initially treated, 37 cases underwent urethroplasty of the scrotum with island flap and 71 cases underwent bladder mucosal urethroplasty. Twenty-three cases underwent reoperation were treated with bladder mucosa urethroplasty Surgery. Results The success rate of the first operation was 85.5% and that of the fistula was 19 (14.5%). The success rate of primary surgery group and reoperation group was 85.2%: 86.9%, the difference was not significant. The incidence of urinary fistula after urethroplasty with bladder mucosa and scrotal island flap was 14.9% and 13.5%, respectively, with no significant difference. Conclusion The bladder mucosa and the scrotal island flap are suitable for all kinds of hypospadias. The key to the success of the operation is the surgeon’s proficiency in the surgical procedure and proper handling of each stage during the perioperative period.