CAJ | 학술논문

目的：介绍一种保留尿道板尿道自体培植技术修复先天性尿道下裂新方法。方法第Ⅰ期行尿道培植，沿尿道口 U 型切开尿道板，并部分矫正阴茎下曲，尿道板卷管用6—0可吸收线缝合，尿道正位开口于阴茎头部，切开阴囊中膈游离暴露肉膜组织，将新尿道包埋于阴囊肉膜组织中；6个月后行第Ⅱ期阴茎成形，游离尿道与阴囊肉膜组织，阴茎皮肤脱套游离至阴茎根部，完全矫正阴茎下曲，阴茎阴囊皮肤成形，结束手术。结果217例接受尿道自体培植Ⅱ期尿道成形术，年龄3个月至7岁，平均1．6岁，其中远侧型122例，近侧型95例。术后出现尿道皮肤瘘11例（5．07％），尿道狭窄5例（2．30％），阴茎下曲畸形复发8例（3．69％），所有病例术后并发症的发生率11．06％。结论尿道自体培植术可有效降低尿道下裂术后并发症、提高手术成功率。
목적：개소일충보류뇨도판뇨도자체배식기술수복선천성뇨도하렬신방법。방법제Ⅰ기행뇨도배식，연뇨도구 U 형절개뇨도판，병부분교정음경하곡，뇨도판권관용6—0가흡수선봉합，뇨도정위개구우음경두부，절개음낭중격유리폭로육막조직，장신뇨도포매우음낭육막조직중；6개월후행제Ⅱ기음경성형，유리뇨도여음낭육막조직，음경피부탈투유리지음경근부，완전교정음경하곡，음경음낭피부성형，결속수술。결과217례접수뇨도자체배식Ⅱ기뇨도성형술，년령3개월지7세，평균1．6세，기중원측형122례，근측형95례。술후출현뇨도피부루11례（5．07％），뇨도협착5례（2．30％），음경하곡기형복발8례（3．69％），소유병례술후병발증적발생솔11．06％。결론뇨도자체배식술가유효강저뇨도하렬술후병발증、제고수술성공솔。
Objetive To describe a new technique which to cultivate neourethra of autologous(CUA) for hypospadias repair. Methods 217 patients of hypospadias,age ranged between 3 months to 7years (mean,1 .6 years),The primary distal and proximal has 122 cases and 95 cases respectively.First,The ure-thral plate to reconstruct a neourethra.Incision the medium of scrotum and take plated the neourethra with sar-colemma of scrotum.Second,After 6 months of operation,performed second operation which.freed the neourethral with sarcolemma and scrotum,Chordee was identified by artificial erection and reconstructed the skin of penis.Results 217 cases performed CUA technique in cure group,among 11 cases(5.07%)devel-oped urethral fistula,5 cases(2.30%)urethral constriction,8 cases(3.69%)reoccurrence of clubbed penis. the rate of operation complication of is 11 .06%.Conclusions The CUA technique is a reliable technique for hypospadias repair.It has particular value is abundant blood supply to tissue of the new construction urethra, pledge the new urethral continue growth,reduce incidence rate of the complication of operation such as the ure-thral fistula or constriction,and reoccurrence of clubbed penis,achieve hypothetical cure effect for hypospadias repair.