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目的探讨带蒂阴囊纵隔皮管治疗先天性尿道下裂的手术技巧,提高手术疗效。方法阴茎勃起实验证明阴茎下弯充分矫正后,采用阴囊纵隔皮管向上翻转成新尿管或经阴茎皮下隧道翻转成新尿管与原尿口相接,留置多侧孔尿道支架管及膀胱造瘘管,Z形皮瓣包绕创面,术后12 d拔除尿道支架管,排尿通畅后拔除膀胱造瘘管。结果一期手术患者34例中尿瘘8例,尿道狭窄1例,尿道内结石1例。4例二期手术患者无尿道及尿道狭窄,尿道内毛发1例。结论带蒂阴囊纵隔皮管成形术取材容易,操作简便,注重手术技巧及细节,能有效减少术后并发症的发生。
Objective To explore the surgical techniques of pedicled scrotum mediastinal skin catheter for the treatment of congenital hypospadias and improve the curative effect. Methods Penile erection experiment proved that the penile curvature correction, the use of the scrotum mediastinal tube upturned into a new catheter or the penis subcutaneous tunnel turned into a new catheter connected with the original urine port, indwelling multi-lateral urethral stent tube and bladder Fistula, Z-shaped flap around the wound, remove the urethral stent tube 12 days after surgery, urinary bladder patency unroofing catheter removed. Results In the first stage of surgery, 34 cases of urinary fistula were found in 8 cases, urethral stricture in 1 case and urethral calculus in 1 case. There were no urethral and urethral stenosis in 4 cases of second-stage surgery, and 1 case of urethral hair. Conclusions The pedicle scrotum mediastinal transepidermal angioplasty is easy to operate and easy to operate. Pay attention to the operation skills and details, which can effectively reduce the incidence of postoperative complications.