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[1]贾建武周健严庆涛任子善王宏利.尿道板正中纵切移植皮片卷管尿道成形术治疗尿道下裂[J].临床小儿外科杂志,2013,12(02):130-131.[doi:10.3969/j.issn.1671— 6353.2013.02.016]
　JIA Jian-wu,ZHOU Jian,YAN Qing-tao,et al.The median longitudinal urethral plate skin graft urethroplasty[J].Journal of Clinical Pediatric Surgery,2013,12(02):130-131.[doi:10.3969/j.issn.1671— 6353.2013.02.016]

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尿道板正中纵切移植皮片卷管尿道成形术治疗尿道下裂

《临床小儿外科杂志》[ISSN:1671-6353/CN:43-1380/R] 卷: 第12卷期数: 2013年02期页码: 130-131 栏目: 临床研究出版日期: 2013-04-28

Title:: The median longitudinal urethral plate skin graft urethroplasty

作者:: 贾建武周健严庆涛任子善王宏利; 作者单位:1,潍坊医学院外科教研室(山东省潍坊市,261041); 2,潍坊市人民医院(山东省潍坊市,261041),E-mail: 18765365309@139.com,通讯作者:周健

Author(s):: JIA Jian-wu; ZHOU Jian; YAN Qing-tao; et al.; 1,Department of Surgical in Weifang Medical University Shandong Weihuang 261041,China; 2, Weifang People’s Hospital, Shandong Weihuang 261041,China

关键词:: 尿道下裂/治疗; 移植; 尿道/外科学

Keywords:: Hypospadias/TH; Transplantation; Vrethra/SU

DOI:: 10.3969/j.issn.1671— 6353.2013.02.016

摘要:: 目的探讨尿道板正中纵切后在皮损区移植皮片卷管尿道成形术治疗尿道下裂的疗效及优势。方法 2010年3月至2012年10月应用尿道板正中纵切移植皮片卷管尿道成形术治疗尿道下裂23例,其中阴茎体型19例,阴茎阴囊型2例,外院行一期阴茎矫直术后1例,手术后尿道裂开1例; 年龄1.5～6.0岁,平均年龄3.75岁,均采取尿道板正中纵切后在皮损区移植皮片卷管尿道成形术治疗。结果患儿均顺利完成手术,均于出院后随访6个月,所有患儿阴茎外观形似包皮环切术后,尿道外口位于阴茎头尿道沟正位,呈裂隙状。一期治愈22例(95.7%),术后尿道瘘1例,1个月后自愈; 无尿道狭窄发生。结论尿道板正中纵切移植皮片卷管尿道成形术治疗尿道下裂效果满意,一期愈合率高,术后并发症的发生率较低,方法简单,容易开展。

Abstract:: Objetive To study of urethral plate median longitudinal skin graft of urethroplasty for hypospadias in prevention of urethral stricture and other aspects of the advantages and the application value. Methods A retrospective summary of 2010 March to 2012 October using urethral plate median longitudinal skin graft of urethroplasty for hypospadias in 23 cases. 19 cases of penile type, 2 cases of penis and scrotum type, and a period of penile straightening after operation in 1 cases, 1 cases of postoperative urethral dehiscence,the clinical data analysis.. This group of children aged 1.5～6 years old, the average age of 3.75 years. Results In this group of patients were followed up for 6 months, resembling a penis after circumcision appearance. External orifice of Urethra Urethral groove is located in the penis head, a slit like.A cure in 22 cases(95.7%), postoperative urethral fistula in 1 cases, in January after the self-healing; without urethral stricture. Conclusions Urethral plate median longitudinal skin graft of urethroplasty for hypospadias with satisfactory results, healing rate was high, the incidence of postoperative complications was low, especially effective in the prevention of postoperative urethral stricture occurred, and the method is simple and easy to carry out.

参考文献/References:

1 李振中,薛恩达,孙永峰等.尿道下裂术后尿道狭窄与术式选择的关系研究[J].临床小儿外科杂志,2006,5(1): 10— 12. 2Nguyen MT,Snodgrass WT,Zaontz MR. Effect of urethral plate characteristics on tabularized incised plate urethroplasty[J].J Urol,2004,171(3): 1260 — 1262. 3Serrano Durba A,Pacheco Bru JJ,Dominguez Hinarejos C.Hypospadias repair with Snodgrass’technique[J].Actas Urol Esp,2007,31(5):52 8— 531. 4刘星,魏光辉.小儿尿道狭窄的诊治进展[J].临床小儿外科杂志,2005,4(6):43 4— 436.

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更新日期/Last Update: 2013-04-30