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根据中山医学院第一附属医院介绍,用膀胱粘膜作尿道成形术具有下列优点:(1)取材容易,术后不影响膀胱容量。(2)膀胱粘膜与尿道粘膜一样对尿液有很强的耐受力。(3)膀胱粘膜薄、代谢低、需氧少、能迅速愈合于移植部位。(4)形成的尿道宽阔而柔软、不发生疤痕挛缩等。我院于1979年开始应用于临床,目前已作尿道下裂一期尿道成形术12例、尿道下裂第二期尿道成形术5例,尿道下裂手术失败后再次行尿道成形术4例、先天性短尿道(无下裂、有阴茎腹曲)1例、前尿道长段狭窄(5厘米)1例,共23例中19例获得成功、仅3例于术后发生较大裂孔,须再次手术,另1例裂孔较小有渗尿现象,门诊随诊观察中。
According to the First Affiliated Hospital of Zhongshan Medical College introduced the use of bladder mucosa for urethroplasty has the following advantages: (1) easy to take, after surgery does not affect the bladder capacity. (2) bladder mucosa and urinary tract mucosa have the same strong resistance to urine. (3) bladder mucosa thin, low metabolism, less oxygen, can quickly heal in the transplant site. (4) The formation of the urethra is broad and soft, scar contracture does not occur. Our hospital began to be used in clinical practice in 1979. Currently, there are 12 cases of urethral hypospadias stage one urethroplasty, five cases of hypospadias second stage urethroplasty, hypospadias surgery again after the failure of urethroplasty in 4 cases, 1 case of congenital short urethra (without rupture, penile ventral curve) and 1 case of long urethral stricture (5 cm), of which 19 cases were successful in 23 cases. Only 3 cases had larger hiatus after operation, Again surgery, and the other 1 case of small holes with osmotic phenomenon, outpatient follow-up observation.