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目的:总结I期手术治疗尿道下裂的方法及疗效。方法:分析本科室2008年9月至2010年3月期间收治的尿道下裂126例患者,其中98例为采用侧背侧皮瓣的OUPFⅡ法;另28例阴茎下弯畸形较严重,采用切除尿道板加尿道口旁皮瓣的OUPFⅣ法的治疗方法和效果等临床资料。结果:126例中115例病例得到治愈,治愈率为91.3%。11例出现术后并发症:10例术后并发尿瘘,均为针尖样尿道皮肤瘘口,其中3例多发瘘口,7例单发瘘口,均已行补瘘术。另1例为尿道外口狭窄,定期行尿道扩张术可获得满意疗效。结论:OUPF法尿道成形手术适合于几乎所有尿道下裂患者,是一种很好的手术方法,具有手术时间短,取材方便,术后恢复快,阴茎外观满意,尿道狭窄、尿瘘、阴茎下弯畸形等并发症少等优点。
Objective: To summarize the methods and curative effects of I-phase surgery on hypospadias. Methods: 126 cases of hypospadias treated in our department between September 2008 and March 2010 were analyzed. Among them, 98 cases were OUPF Ⅱ with dorsal flaps and 28 cases with more severe penile deformity. Urethral plate plus urethral flap OUPF Ⅳ method of treatment and clinical data. Results: Of the 126 cases, 115 cases were cured with a cure rate of 91.3%. Eleven patients had postoperative complications: 10 cases of postoperative urinary fistula were needle-like urethral fistula, including 3 cases of multiple fistula, 7 cases of single fistula, have fistula surgery. Another case of urethral stenosis, regular urethral dilation can obtain satisfactory results. Conclusions: OUPF urethroplasty is suitable for almost all patients with hypospadias, which is a good surgical method with short operative time, easy access, fast postoperative recovery, satisfactory appearance of the penis, urethral stricture, urinary fistula, penile curve Deformity and other complications less advantages.