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我院1987年以来,采用阴囊中隔皮瓣成形尿道,一期修复尿道下裂16例,效果满意。 1 临床资料 本组16例,年龄2～16岁,其中阴茎型7例,阴茎阴囊型9例。一次手术治愈14例,二期补瘘治愈1例,失败1例。随访2～12个月,阴茎下曲矫正满意,排尿通畅,供瓣区阴囊外形好。 2 手术方法 骶管麻醉或低位硬膜外麻醉。阴茎头用丝线贯穿缝合一针作牵引,于阴茎腹侧纤维索带两外缘纵行切开皮肤及肉膜,彻底切除纤维索带。近尿道口处切开挛缩的阴茎筋膜,沿切口向两侧游离全层阴茎皮肤,使阴茎彻底松解伸直。
Our hospital since 1987, the use of scrotal septal flap urethra, a repair of hypospadias in 16 cases, the effect is satisfactory. 1 Clinical data The group of 16 patients, aged 2 to 16 years, of which 7 cases of penis, 9 cases of penis scrotum. A surgical cure in 14 cases, two cases of fistula were cured in 1 case, failure in 1 case. Followed up for 2 to 12 months, correction of penile curvature, voiding patency for the scrotum lobe shape good. 2 surgical methods caudal anesthesia or low epidural anesthesia. Penis head with a thread through the suture for traction, in the penile ventral fiber cord two longitudinal margin cut the skin and the meat film, complete removal of fiber cord. Near the urethral incision contracture of the penis fascia, along the incision to both sides of the free full-thickness penile skin, the penis completely loose straight.