Y形阴囊皮瓣修复小儿重度尿道下裂12例报告

郝建伟; 杜广辉; 范志强; 徐亚静; 刘中华

Y形阴囊皮瓣修复小儿重度尿道下裂12例报告

- 1 河南省人民医院泌尿外科(郑州, 450003)

详细信息

通讯作者: 刘中华,E-mail:liuzhonghua6066@hotmail.com

中图分类号: R695

收稿日期: 2011-10-12

Y shape scrotal skin flap urethroplasty repair for severe hypospadias in children（Report of 12 cases）

- Department of Urology, Henan Provincial People's Hospital, Zhengzhou, 450003, China

More Information

Corresponding author: LIU Zhonghua, E-mail: liuzhonghua6066@hotmail.com

Received Date: 12 October 2011

摘要

摘要: 目的:探讨Y形阴囊皮瓣治疗小儿重度尿道下裂的适用范围和疗效。方法:背侧包皮不充裕的重度尿道下裂患儿12例,包括阴囊型7例,会阴型5例;合并阴茎阴囊不全转位11例,完全转位1例。年龄11个月~12岁,平均4.2岁。采用Y形阴囊皮瓣成形尿道并同期纠正阴茎阴囊转位。结果:平均随访2年,术后阴茎伸直及外观满意,尿道口位置正常。发生尿瘘4例(33.3%),尿道狭窄1例(8.3%),手术总成功率达58.3%。结论:Y形阴囊皮瓣适用于背侧包皮少的小儿重度尿道下裂的治疗,且能同期纠正阴茎阴囊转位,疗效肯定。
- 尿道下裂 /
- 尿道成形术 /
- 阴囊皮瓣
Abstract: Objective:To discuss the indication and efficacy for treating pediatric severe hypospadias with Y shape scrotal skin flap.Methods:From January 2000 to July 2010, severe hypospadias with the poorly developed dorsal foreskin in 12 boys were performed urethroplasty by Y shape scrotal skin flap and corrected penile-scrotal transposition at the same time. All patients had penile-scrotal transposition. Patient age ranged from 11 months to 12 years with an average age of 4.2 years. Of them, 7 cases were scrotal type, 5 cases of perineal type according to Barcat classification.Results:The mean follow-up time was 24 months. The straightening and outlook of the penis were basically satisfied, the meatus located at normal position after operation. Complications occurred in 5 patients(33.3%). Four patients(33.3%) experienced fistula. One(8.3%) suffered from urethral stenosis.Conclusions:Y shape scrotal skin flap urethroplasty offers a reliable repair for pediatric severe hypospadias with the poorly developed dorsal foreskin. Furthermore, penile-scrotal transposition can be corrected in the meantime.
- hypospadias /
- urethroplasty /
- scrotal skin flap

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参考文献(7)

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