CAJ | 학술논문

目的探讨尿道口基底两侧包皮瓣Ⅰ期尿道成形术修复近端型尿道下裂的临床效果.方法本组53例,年龄为4.5(2～13)岁.采用尿道口基底两侧和背部的包皮瓣与尿道板联合卷管成形新尿道.结果其皮瓣长度平均为4.1(2.5～9.0)cm.术后尿液引流时间平均10.9 d(7～14 d).37例获随访6个月以上.Ⅰ期手术成功44例(83.0%).并发症:尿瘘6例,尿道狭窄2例,尿道憩室1例均需再次手术.尿道外口狭窄1例经尿道扩张后治愈.再次手术成功率为77.8%(7/9).随访:外观佳的占86.5%(32/37);梗阻型尿流曲线为:35.5%(11/31).结论该术式符合解剖生理,对Ⅰ期修复近端型尿道下裂是一种较理想的手术方式.
목적 탐토뇨도구기저량측포피판Ⅰ기뇨도성형술수복근단형뇨도하렬적림상효과.방법 본조53례,년령위4.5(2～13)세.채용뇨도구기저량측화배부적포피판여뇨도판연합권관성형신뇨도.결과 기피판장도평균위4.1(2.5～9.0)cm.술후뇨액인류시간평균10.9 d(7～14 d).37례획수방6개월이상.Ⅰ기수술성공44례(83.0%).병발증:뇨루6례,뇨도협착2례,뇨도게실1례균수재차수술.뇨도외구협착1례경뇨도확장후치유.재차수술성공솔위77.8%(7/9).수방:외관가적점86.5%(32/37);경조형뇨류곡선위:35.5%(11/31).결론 해술식부합해부생리,대Ⅰ기수복근단형뇨도하렬시일충교이상적수술방식.
Objective To report the of treatment of proximal hypospadias with one-stage urethroplaty with two laterally-based flaps. Methods Fifty-three patients (mean age, 4. 5 years; age range:2-13 years) with hypospadias and severe chordee were operated. Neourethra was formed with tabularized meatal based paracoronal skin flaps and urethral plate. The neourethral flap was 2.5-9 cm (mean 4. 1 cm) in length. The catheters were removed 7-14 days (mean 10. 8 days) post-operately.Thirty-seven patients were followed up more than 6 months. Results Successful one-stage repair was achieved in 44 cases (83. 0%). Fistula developed in 6 patients, urethral stricture in 2 patients, urethral diverticulum in 1 patient which required re-operation. Meatal stenosis developed in 1 patient. The reoperation success rates were 77. 8% (7/9). Good post-operative cosmetic appearance of penis was achieved in 86. 5% of patients (32/37). A plateau uroflow curve (vs normal bell curve) was observed in 35. 5% (11/31) of patients. Conclusions The technque was based on the applied anatomy. It offers a good alternative for proximal hypospadias.