论文部分内容阅读
目的：探讨保留尿道板与翻转阴茎阴囊皮瓣或皮管形成尿道法治疗各型尿道下裂的效果。方法：对我院１９８４年前采用的单纯阴茎阴囊皮瓣埋藏法进行改进，包括保留尿道板并与翻转阴茎阴囊皮瓣或皮管形成尿道，保证尿道正位开口，伴阴茎阴囊转位者一期矫正，取消膀胱造瘘等。结果：用改进术式治疗各型小儿尿道下裂３１２例，一期成功２６６例（８５．３％），因尿瘘、尿道狭窄等手术失败４６例（１４．７％）。结论：改进后的保留尿道板并与翻转之阴茎阴囊皮瓣或皮管形成尿道法是治疗本病较理想的方法，支架管替代膀胱造瘘和同时矫正阴茎阴囊转位不但简化了手术步骤，而且有利于手术一期成功
Objective: To investigate the effect of preserving the urethral plate and inverting the scrotum flap or skin tube to form the urethra for the treatment of various types of hypospadias. METHODS: The simple penis scrotum flap burying method adopted before 1984 in our hospital was improved, including the retention of the urethral plate and the formation of the urethra by inverting the penis scrotum flap or skin tube to ensure the opening of the urethra, Period of correction, cancel the bladder fistula and so on. Results: An improved technique was used to treat 312 cases of various types of pediatric hypospadias in 266 cases (85.3%) in the first phase, and 46 cases (14.7%) failed due to urinary fistula and urethral stricture. Conclusion: The improved method of preserving the urethral plate and forming the urethra with the inverted penis scrotal flap or skin tube is an ideal method to treat this disease. The replacement of the cystostomy with the stent tube and the correction of penis scrotum translocation not only simplify the procedure, And conducive to a successful operation