发育医学电子杂志 Vol. 4 103-106
生长发育
论著
耦合法尿道成形术在中重度阴茎下弯的阴茎体型尿道下裂的应用
安妮妮 吴谋东 占雄 等
安妮妮 吴谋东 占雄（贵州省人民医院 小儿外科， 贵阳 550002）
AN Ni-ni,WU Mo-dong,ZHAN Xiong(Department of Pediatric Surgery, Guizhou People's Hospital, Guiyang 550002, China)
AN Ni-ni, WU Mou-dong, ZHAN Xiong
AN Ni-ni,WU Mo-dong,ZHAN Xiong(Department of Pediatric Surgery, Guizhou People's Hospital, Guiyang 550002, China)
摘要 目的 探讨采用口腔黏膜片移植与包皮内板转移皮瓣耦合组建尿道修复尿道下裂的手术方式。方法 回顾性分析2013年3月至2014年6月本院15例中重度阴茎下弯的阴茎体型道下裂患儿，采用口腔黏膜片移植与包皮内板转移皮瓣相结合的耦合法组建尿道修复尿道下裂的病历资料。结果 15例中重度阴茎下弯的阴茎体型尿道下裂患儿中，1例出现尿瘘经修补治愈；1例出现尿道狭窄，经尿道扩张后治愈，其余均一期治愈。术后随访1年，15例阴茎下弯矫正满意，尿道开口正位，阴茎龟头外形较好，再造尿道通畅。结论 应用口腔黏膜片移植与包皮内板转移皮瓣相结合的耦合法组建修复尿道，是一种修复尿道下裂的良好方法，术后并发症少，值得临床推广。
关键词:
尿道下裂')" href="#">尿道下裂
阴茎下弯')" href="#">阴茎下弯
口腔黏膜片移植')" href="#">口腔黏膜片移植
包皮内板转移皮瓣')" href="#">包皮内板转移皮瓣
耦合法')" href="#">耦合法
Abstract: Objective To investigate the clinical outcome of a “Two in One” urethroplasty which combined with oral mucosa graft and local pedunculated prepuce flap into on urethra. Method We retrospectively analysis 15 patients, who suffered penile hypospadias with severe chordee underwent a “Two in One” urethroplasty, which combined buccal mucosa and local flap for urethral reconstruction from March 2013 to June 2014 in our hospital. Results Of 15 patients, the extension of penis was satisfied and urethral repair was successful. There were respectively 1 patients with postoperative urinary fistula and urethral stricture, and were respectively cured by fistulous neoplasty and urethral dilatation. Follow up 1 year, there are no the penis curved, urethra fistula,urethral stricture and urethral diverticulum. There is a universal urinate for oneself and a good form. Conclusions “Two in One” urethroplasty which combined oral mucosa graft and local flap is very suitable for penile hypospadias with severe chordee, it is less postoperative complications, and experiences based on the “Two in One” urethroplasty worth extending
Key words:
font-size:14px Hypospadias, chordee, “Two in One” urethroplasty, oral mucosa graft, local pedunculated prepuce flap
收稿日期: 2015-11-21
出版日期: 2016-04-30
发布日期: 2018-01-30
期的出版日期: 2016-04-30
通讯作者:
安妮妮
E-mail: 936606465@qq.com
引用本文:
安妮妮 吴谋东 占雄 等. 耦合法尿道成形术在中重度阴茎下弯的阴茎体型尿道下裂的应用 [J]. 发育医学电子杂志, 2016, 4(2): 103-106.
AN Ni-ni,WU Mo-dong,ZHAN Xiong(Department of Pediatric Surgery, Guizhou People's Hospital, Guiyang 550002, China) . Journal of Developmental Medicine(Electronic Version), 2016, 4(2): 103-106.
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