南方医科大学学报

南方医科大学学报 ›› 2004, Vol. 24 ›› Issue (01): 113-114.

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尿道下裂成形术后尿瘘的修补(附56例报告)

赵国进1, 刘春晓2, 吴国定1, 张耀光1, 区向新1   

  1. 1. 广东省新会市人民医院小儿外科, 广东, 新会, 529100;
    2. 第一军医大学珠江医院泌尿外科, 广东, 广州, 510282
  • 出版日期:2004-01-20 发布日期:2004-01-20
  • 基金资助:
    收稿日期:2003-9-27。
    作者简介:赵国进(1969- ),男,1992年毕业于广东医学院,学士,主治医师,电话:0750-6198612

Repair of urethral fistula resulting from correction of hypospadias:experience with 56 cases

ZHAO Guo-jin1, LIU Chun-xiao2, WU Guo-ding1, ZHANG Yao-guang1, Ou Xiang-xin1   

  1. 1. 广东省新会市人民医院小儿外科, 广东, 新会, 529100;
    2. 第一军医大学珠江医院泌尿外科, 广东, 广州, 510282
  • Online:2004-01-20 Published:2004-01-20

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摘要： 目的 通过改进手术方法、缝合材料、尿道支架等方式,提高尿道下裂成形术后尿瘘1次修补的成功率。方法 分析、总结56例尿道下裂成形术后尿瘘患者的临床资料,其中大瘘口(瘘口直径大于3mm)38例,小瘘口(瘘口直径小于3mm)18例。大瘘口采用双皮片法或带蒂阴囊皮瓣修补,小瘘口采用横Y-V皮瓣修补。支架管采用多孔硅胶“管中管”。结果 1次修补成功率达87.50%,其中大瘘的修补成功率达86.84%。结论 保证修补皮瓣的血运、合成可吸收线的使用及尿道支架的引流等可提高修补成功率。

Abstract: Objective To improve the success rate of on e- stage urethral fistula repair by modifying the surgical procedures, suture mate rial and application of urethral stent.Methods The clinical data of 56 cases of urethral fistula following correction of hypospadias were analyzed. The case g roup consisted of 38 cases with large fistula (over 3mm in diameter) and 18 cas es of small fistula (less than 3mm). For the former cases, double skin flaps o r pedicled skin flap from the scrotum were adopted for the repair; in the latte r cases, transverse Y- or V-shaped skin flaps were used. Porous silica gel cann ula was adopted for the stents.Result A success rate of one-stage repair as hi gh as 87.50% was achieved in these cases, with a rate for large fistula of 86.84 %.Conclusion Rich blood supply of the flaps, application of absorbable suture a nd urethral stent can improve the suc-cess rate of fistula repair.

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