带蒂包皮内板治疗先天性尿道下裂
 |
| 第1页 |
参见附件(1973KB，3页)。
【摘要】 目的 应用带蒂包皮内板治疗先天性尿道下裂。方法 29例患儿,平均4.5岁,其中阴茎体型22例,阴茎阴囊型7例。切除阴茎腹侧纤维索带后,应用阴茎背侧带蒂的内板卷曲成管状,旋转180°至阴茎腹侧与原尿道口吻合,形成新的尿道。结果 26例患儿获成功,排尿正常,阴茎外观尚可。3例发生尿瘘。结论 应用带蒂包皮内板治疗先天性尿道下裂,提高手术操作技巧和术前术后的正确治疗,是取得成功的关键。
【关键词】 尿道下裂;带蒂包皮内板
【Abstract】 Objective Utilization of pedicled foreskin flaps for treatment of congenital hypospadias.
作者单位:528200广东省南海市妇幼保健院外科
Methods 29 cases with the mean age of 4.5 years. 22 cases were with penile hypospadias and 7 cases were with penoscrotal hypospadias. After resection of ventral fibrous tissues, reverse the tabularized pedicled foreskin flaps 180 degrees to connect with urethral opening on ventral surface.Results Final functional and cosmetic results were satisfactory in 26 cases with 3 cases of fistulas.Conclusion Improving the operative techniques, and proper pre- and post-operative treatment are the key to success in the reconstruction of the urethral plate with pedicled foreskin flaps.
【Key words】 Hypospadias;Pedicled foreskin flaps
尿道下裂是胚胎发育过程中阴茎腹侧的尿道沟未能完全闭合,而使尿道开口于阴茎腹侧或阴囊会阴等异常部位,是小儿泌尿系统中常见的先天畸形,此病在出生男婴中发病率1‰~3‰,现有的手术治疗方法多达200余种,但尚无一公认的术式为广大医师所接受[1]。术后易出现尿瘘、尿道狭窄、假性尿道憩室等并发症。包皮内板代尿道治疗先天性尿道下裂,是一种成功率较高的手术方法,国内多家医院采用,其手术一次成功率达80%~90% ......
您现在查看是摘要介绍页，详见PDF附件(1973KB，3页)。