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目的：寻找一种尿道下裂治疗中防止龟头成形术后尿道外口狭窄的方法。方法：１１ 例阴茎阴囊型或阴囊型先天性尿道下裂患儿，在行阴囊纵隔岛状皮瓣尿道成形术中应用了“ Ｖ”形皮瓣龟头成形术，术后对排尿情况和尿道外口大小进行了随访和测量。结果：在１ ～３５ 年的随访中，除１例在原尿道外口处有轻度狭窄外，其余均未见有龟头末端尿道外口狭窄，而且尿流通畅。结论：“ Ｖ”形皮瓣龟头成形术是一种防止尿道重建后尿道外口狭窄的有效方法。
OBJECTIVE: To find a method to prevent the urethral stricture after glansoplasty in the treatment of hypospadias. Methods: 11 cases of penile scrotum or scrotum congenital hypospadias were treated with “V” flap glansoplasty in the urethroplasty of the scrotal mediastinum island flap. After operation, the urinary excretion and the urethra The size of the mouth was followed up and measured. Results: In 1 ~ 3.5 years of follow-up, except for 1 case with mild stenosis outside the original urethral orifice, the other did not see the glans outside the urethral stenosis, and the smooth flow of urine. CONCLUSION: V-shaped flap glansoplasty is an effective method to prevent the urethral stricture after urethral reconstruction.