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目的总结尿道板纵切卷管法(snodgrass)与加盖岛状皮瓣法(onlayislandtlap)尿道成型术治疗尿道下裂的,并对其疗效进行比较。方法应用尿道板纵切卷管法与加盖岛状皮瓣法尿道成型术治疗70例尿道下裂患者,其中应用尿道板纵切卷管法尿道成型术治疗40例,应用加盖岛状皮瓣法尿道成型术治疗30例。结果尿道板纵切卷管法尿道成型术一次手术成功36例,成功率为90%;术后发生尿道瘘3例,尿道狭窄1例。加盖岛状皮瓣法尿道成型术手术一次成功27例,术后发生尿道瘘3例,成功率为90%。结论尿道板纵切卷管法与加盖岛状皮瓣法尿道成型术可用于阴茎头冠状沟、阴茎体、阴茎阴囊型尿道下裂的治疗,尿道板纵切卷管法尿道成型术操作更简单,易于推广。
Objective To summarize the effects of snodgrass and onlayislandtlap urethroplasty on hypospadias. Methods 70 cases of hypospadias were treated by urethral canal longitudinal incision and island flap flap urethroplasty. Among them, 40 cases were treated by urethral plaque longitudinal incision and urethral plasty, Thirty cases of urethroplasty with flap method. Results urethral longitudinal incision volume tube urethroplasty 36 cases of a successful operation, the success rate was 90%; 3 cases of urethral fistula occurred after surgery, urethral stricture in 1 case. Twenty-seven cases were successful with urethrotoplasty with island flap method, and 3 cases with urethral fistula after operation, with a success rate of 90%. Conclusion Urethral canal longitudinal incision volume method and island flap flap urethroplasty can be used for the treatment of glaucoma, penis and penis scrotum hypospadias. Urethral incision and urethral incision urethral plasty Simple, easy to promote.