中国全科医学2012,Vol.15Issue(9):1052-1053,2.
阴囊中缝皮瓣联合矩形包皮内板皮瓣治疗阴茎阴囊型尿道下裂疗效观察
Efficacy of Scrotal Raphe Flap,Rectangular Prepuce Flap Combined Treatment of Penile Scrotal Hypospadias
刘孝华1
作者信息
- 1. 445000,湖北省恩施市,湖北民族学院附属民大医院泌尿外科
- 折叠
摘要
Abstract
Objective To investigate the clinical efficacy of combined treatment of scrotal raphe flap and rectangular prepuce flap in treating penile scrotal hypospadias. Methods 32 penile scrotal hypospadias patients who admitted to our department from March 2004 to December 2010 were given combined treatment of scrotal raphe flap and rectangular prepuce flap. The therapeutic effect, urinary fistula and necrosis of the flap were observed and recorded. Results All patients had successful implementation of penis straightening and urethroplasty. Urethral flap survived completely in 32 patients whose penis could fully extend, and no necrosis was found. Urine leakage was found in 4 cases, urethral stenosis was found in 1 case, mild penile torsion in 1 case. Urine leakage was cured in the 4 patients by urinary fistula repairing after six months to one year. Urethral stenosis was cured by urethral dilatation and the mild penile torsion wasn't given any special treatment Review after one year showed near - normal appearance. Conclusion Scrotal raphe flap, rectangular prepuce flap combined treatment of penile scrotal hypospadias can effectively reduce the incidence of urinary fistula with high survival rate of skin tube. It has good clinical value and promotion value.关键词
尿道下裂/泌尿外科手术/联合皮瓣Key words
Hypospadias/Joint flap/Urologic surgical procedures分类
医药卫生引用本文复制引用
刘孝华..阴囊中缝皮瓣联合矩形包皮内板皮瓣治疗阴茎阴囊型尿道下裂疗效观察[J].中国全科医学,2012,15(9):1052-1053,2.