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本文报导我省二个医院从1974年至1979年期间,采用游离膀胱粘膜一期尿道成形术治疗尿道下裂35例,其中3例因局部感染形成尿瘘失败,余32例均获得成功。并发症仅个别有阴茎水肿、尿道外口狭窄、膀胱及周围炎。若有尿漏可暂不拔除耻骨上膀胱造瘘管,较小瘘孔可自行愈合或瘘孔插入枯痔钉能促进愈合,经4周仍未愈合者,可拔除造瘘管,待6个月后再修补尿瘘。作者认为对前尿道广泛狭窄切开以后也可用游离膀胱粘膜作一期尿道成形术。
This article reports two hospitals in our province from 1974 to 1979, the use of free bladder mucosa stage urethroplasty 35 cases of hypospadias, of which 3 cases of local infection due to the formation of fistula failed, the remaining 32 cases were successful. Only a few complications of penile edema, urethral stricture, bladder and peripheral inflammation. If there is urinary leakage can not be temporarily removed suprapubic bladder fistula, smaller fistula can be self-healing or fistula hole hemorrhoids nail can promote healing, after 4 weeks have not healed, can be removed fistula, to be 6 months later Then repair the fistula. The authors believe that after a wide range of anterior urethral stricture can also be used for free bladder mucosa for urethroplasty.