CAJ | 학술논문

目的总结口腔黏膜卷管游离移植及阴囊皮瓣修复成年人严重型尿道下裂的疗效.方法应用口腔黏膜卷管游离移植预制远段尿道,二期进行吻接,同时应用以阴囊动脉为蒂的阴囊中隔皮瓣或阴囊筋膜皮瓣修复创面,皮瓣最宽3 cm,最长6.5 cm.结果 2002年1月至2007年12月,治疗成年人严重型尿道下裂患者76例,除4例并发感染、2例出现阴囊皮瓣远端血运障碍而形成尿漏,术后2～4周内自行愈合外,其余患者均一期愈合.结论应用口腔黏膜卷管游离移植预制远段尿道,二期尿道吻接、应用阴囊皮瓣修复阴茎创面,是治疗成年人严重型尿道下裂的较好方法.
목적 총결구강점막권관유리이식급음낭피판수복성년인엄중형뇨도하렬적료효.방법 응용구강점막권관유리이식예제원단뇨도,이기진행문접,동시응용이음낭동맥위체적음낭중격피판혹음낭근막피판수복창면,피판최관3 cm,최장6.5 cm.결과 2002년1월지2007년12월,치료성년인엄중형뇨도하렬환자76례,제4례병발감염、2례출현음낭피판원단혈운장애이형성뇨루,술후2～4주내자행유합외,기여환자균일기유합.결론 응용구강점막권관유리이식예제원단뇨도,이기뇨도문접、응용음낭피판수복음경창면,시치료성년인엄중형뇨도하렬적교호방법.
Objective To report the treatment of serious hypospadias in adults with free graft of tubed mouth mucosa and scrotal fascia flaps. Methods The tubed mouth mucosa was free grafted to fabricate the distal segment of urethra. It was anastomosed to the urethra at the second stage. The scrotal fascia flap was used to cover the penile wound. The biggest flap was 3 cm in width and 6.5 cm in length. Results From Jan. 2002 to Dec. 2007, 76 adults with severe hypospadias were treated. Infection happened in 4 cases. 2 cases had urethral fistula due to the partial flap necrosis which was healed automatically within 2～4 weeks. All the other patients healed primarily. Conclusions It is a good method for the treatment of serious hypospadias in adults with serotal fascia flaps and free graft of tubed mouth mucosa which is anastomosed to the urethra at the second stagge.