摘要
目的:确认阴茎皮肤血液供应模式,提出新的尿道下裂治疗术式。方法:灌注解剖8例男性尸体。应用阴茎腹侧皮肤岛状瓣再造尿道,以阴囊中隔皮瓣覆盖阴茎腹侧创面的新方法治疗10例尿道下裂患儿。结果:临床应用10例,仅1例发生尿瘘,经过良好。结论:本法使再造尿道的血运有了保证,亦避免了在阴茎皮肤不足时,在阴茎背侧作松弛切口,或是将阴茎埋入阴囊内的二期术式。
Objective:To define the penile cutaneous blood supply and to design a new tech- nique for one-stage repair of hypospadias.Methods:Anatomical study of the blood supply of pe- nile skin was made with injection of 30% ABS solution in 8 male cadaver specimens.Ten hypospa- dias were repaired by the new technique including:1)The neourethra was reconstructed by penile ventral cutaneous island flap;2)The donor area of penile skin was covered by the scrotal septal cutaneous flap with its vascular pedicle.Results:Nine patients achieved good results.One patient required a second operation to close a urethral fistulas.Conclusion:The advantages of this new technique are as follows:1)The blood supply of the neourethra is adequate.2)Relaxation inci- sion on the dorsal penile skin or the temporary burying the penis in the scrotum is not necessary.
出处
《中华小儿外科杂志》
CSCD
1997年第2期97-99,共3页
Chinese Journal of Pediatric Surgery
