论文部分内容阅读
目的报道弧形带蒂包皮内板阴茎背侧皮肤联合皮瓣治疗阴囊型及会阴型尿道下裂治疗体会。方法自2000年1月至2007年10月共收治阴囊型及会阴型尿道下裂12例,均采用弧形带蒂包皮内板阴茎背侧皮肤联合皮瓣(Ducrett+Perovic’s)制成皮管Ⅰ期成形修复尿道。术中常规耻骨上膀胱穿刺造瘘引流尿液,尿道置多侧孔硅胶管支架引流尿道,术后应用头孢曲松钠抗感染治疗,保留尿道支架管6~8 d,膀胱造瘘管10~12 d。结果11例Ⅰ期成功,1例发生尿瘘,于6月后修补瘘管痊愈。排尿正常,无痛性勃起,阴茎无扭转,腹侧无臃肿。结论此法治疗包皮阴茎皮肤充裕之重度尿道下裂效果确切,外观满意,是一种较好的手术方式。
Objective To report the treatment of scrotum type and perineal hypospadias with curved pedunculated preputial skin flap and penis dorsal skin flap. Methods From January 2000 to October 2007, 12 cases of scrotal and perineal hypospadias were treated. Ducrepid + Perovic’s skin flap Period of shaping the urethra repair. Intraoperative conventional suprapubic bladder puncture fistula drainage of urine, urethral multi-lateral hole silicone tube stent drainage urethra, postoperative application of ceftriaxone sodium anti-infection treatment, retaining urethral stent 6 to 8 d, bladder fistula 10 to 12 d. Results Eleven cases were successful in stage Ⅰ, one case had urinary fistula, and the fistula was recovered after 6 months. Normal urination, painless erection, no torsion of the penis, ventral bulky. Conclusion This method for the treatment of foreskin penile skin full of severe hypospadias exact effect, the appearance of satisfaction, is a good surgical approach.