CAJ | 학술논문

目的：分析在阴囊皮瓣尿道成型术中背侧包皮的临床利用价值。方法收集采用上述方法治疗的21例尿道下裂患儿临床及术后随访资料，分析总结手术治疗效果及术后并发症发生情况。结果一期手术治愈18例，外形效果比较满意，治愈率85.7%，其中冠状沟型5例，阴茎体型16例。术后尿道狭窄1例，尿道瘘2例。结论在阴茎、阴囊纵隔皮瓣尿道成形术基础上进行改良，利用背侧包皮覆盖在腹侧并包埋重建尿道的尿道成型的新方法，一期修复尿道下裂，疗效满意，方法简单，并发症少，易于掌握，值得临床推广应用。
목적：분석재음낭피판뇨도성형술중배측포피적림상이용개치。방법수집채용상술방법치료적21례뇨도하렬환인림상급술후수방자료，분석총결수술치료효과급술후병발증발생정황。결과일기수술치유18례，외형효과비교만의，치유솔85.7%，기중관상구형5례，음경체형16례。술후뇨도협착1례，뇨도루2례。결론재음경、음낭종격피판뇨도성형술기출상진행개량，이용배측포피복개재복측병포매중건뇨도적뇨도성형적신방법，일기수복뇨도하렬，료효만의，방법간단，병발증소，역우장악，치득림상추엄응용。
Objective: To discuss the clinical value of the dorsal prepuce in the scrotal skin flap urethroplasty. Methods:The clinical and post-operation follow-up visit data of the 21 cases of the hypospadias patients treated with the above-mentioned method were collected. Results:In one-stage operation, there are 18 successful cases with satisfying shape effect and a cure rate of 85.7%, in which there are 5 cases of coronary groove type, 16 cases of penile type. There are postoperative 1 case of urethral stricture and 2 cases of urethral fistula. Conclusion:Improved on the bases of the penile, scrotal mediastinal flap urethroplasty, it is a new method in the advantage of the dorsal prepuce’s covering the veutri and burying and rebuilding the urethra in the expectation of getting the hypospadias recovered in the first round operation. This treatment is proved to be simple, easy with satisfying curative effect, which is of great value to be extensively promoted and applied.