CAJ | 학술논문

目的评价分期治疗尿道下裂残废的效果.方法对35例尿道下裂残废患者采用一期手术:完全脱套包皮,切除阴茎腹侧纤维束带或瘢痕组织,完全伸直阴茎,游离皮瓣、口腔颊黏膜或下唇黏膜移植至阴茎腹侧填补缺损,预置“尿道板”.术后,6个月二期手术:手术方式采用尿道板纵切卷管尿道成形术.结果术后2例出现尿瘘,6个月后成功修补,其余病例的尿道均通畅,疗效满意.结论分期手术治疗尿道下裂残废成功率高,手术简单,整形效果好.
목적 평개분기치료뇨도하렬잔폐적효과.방법 대35례뇨도하렬잔폐환자채용일기수술:완전탈투포피,절제음경복측섬유속대혹반흔조직,완전신직음경,유리피판、구강협점막혹하진점막이식지음경복측전보결손,예치“뇨도판”.술후,6개월이기수술:수술방식채용뇨도판종절권관뇨도성형술.결과 술후2례출현뇨루,6개월후성공수보,기여병례적뇨도균통창,료효만의.결론 분기수술치료뇨도하렬잔폐성공솔고,수술간단,정형효과호.
Objective To evaluate the two-stage repair in hypospadias cripples.Methods 35 patients with hypospadias cripples underwent two-stage repair.At the first stage,a full-thickness graft of skin or buccal mucosa was used for urethral plate reconstruction after the release of chordee.The second stage was performed 6 months after completion of the first stage.Tubularization of the replaced urethral plate was the preferred technique.Results There was no urethra stricture or “preplaced urethral plate ” atrophy.Fistula developed in 2 of 35 cases.Conclusion The twostaged technique was a useful strategy to deal with the myriad abnormalities encountered in crippled hypospadias.This technique could not only create a neourethra successfully,but also give the penis a near-normal shape and appearance.