通过尿道板纵切面和螺旋管尿道成形术治疗 52 例尿道下裂病例

Guoqing Yu
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摘要

目的探讨尿道板纵切和盘管尿道成形术治疗尿道下裂的适应症和一些问题。方法:所有患儿均接受尿道板纵切和盘管尿道成形术治疗。结果:所有患儿的阴茎均表现为包皮环切术后的外观,勃起功能正常,尿道开口位于阴茎头的正确位置,术后尿道瘘4例,尿道狭窄3例,阴茎腹侧肿胀5例,阴茎轻度扭转2例,阴茎轻度下弯1例。讨论对于阴茎屈曲度低、尿道板发育良好的中远端尿道下裂,纵切段尿道板切开尿道管尿道成形术具有手术效果好、手术时间短、术后并发症少等优点。是目前常用的手术方法。
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Treatment of 52 Cases of Hypospadias by Longitudinal Section of Urethral Plate and Coiled Tube Urethroplasty
Objective: To investigate the indications and some problems in the treatment of hypospadias by longitudinal section of urethral plate and coiled tube urethroplasty. Methods: All the children were treated with longitudinal urethral plate section and coiled tube urethroplasty. Results: The penis of all the children showed the appearance after circumcision, with normal erectile function, urethral opening in the right position of the head of the penis, postoperative urethral fistula in 4 cases, urethral stenosis in 3 cases, ventral swollen penis in 5 cases, slight torsion of the penis in 2 cases, and slight downward curvature of the penis in 1 case. Discussion: For distal and middle types of hypospadias with low penile flexion and well-developed urethral plates, longitudinal section urethral plate incision urethral tube urethroplasty has good surgical effect, short operation time and fewer postoperative complications. It is a commonly used surgical method at present.
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