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1986年7月,我院开始采用李式高等的“应用阴囊纵隔血管蒂皮瓣修复尿道下裂”方法(中国医学科学院学报1984;6;25,下称李氏法)修复尿道下裂10例。实践中认为此法尚有值得改进之处。1987年5月至1989年11月用改进后的方法——一期正位尿道下裂修复术,修复不同类裂的尿道下裂24例,疗效满意,现介绍如下。一、临床资料本组24例,年龄5～26岁;尿道下裂为阴茎型6例,阴茎阴囊型10例,阴囊型8例;22例一期修复成功,2例并发轻度尿瘘,6个月后经二期手术修补治愈。全部病例均由成形尿道保留导尿管并附置尿道冲洗管。随访21例,阴茎伸直和排尿情况满意。
July 1986, our hospital began to use advanced Li-style “application of scrotal septal pedicle flap repair hypospadias” method (Chinese Academy of Medical Sciences 1984; 6; 25, hereinafter referred to Lee’s method) repair hypospadias in 10 cases . In practice, there is still room for improvement in this law. May 1987 to November 1989 with an improved method - an ortho-hypospadias repair, repair of different types of cleft hypospadia in 24 cases, the effect is satisfactory, are described below. First, the clinical data of the group of 24 patients, aged 5 to 26 years old; hypospadias Penis 6 cases, penis scrotum 10 cases, scrotum 8 cases; 22 cases of a successful repair, 2 cases complicated by mild urinary fistula, 6 After a period of two months by surgery to repair and cure. In all cases, the urethral catheter was retained and the urethral irrigation tube was attached. Follow-up in 21 cases, penile straightness and urination satisfied.