摘要
目的提高先天性尿道下裂术后尿道憩室的诊治水平。方法先天性尿道下裂术后尿道憩室患者26例,年龄3～22岁,平均5岁。5例伴尿道皮肤瘘,10例伴尿道道狭窄,1例伴尿道结石。采用憩室切除,修补尿道瘘,尿道狭窄,取出结石,并行肉膜瓣覆盖成形尿道。结果随访1、2年,25例全部一次手术成功,1例术后出现尿瘘,再次手术治愈。立位排尿通畅。结论先天性尿道下裂术后尿道憩室少见,多见于近端型尿道下裂修补术后。切除憩室后成形尿道外覆盖肉膜瓣是治疗尿道下裂术后尿道憩室的有效方法。
[ Objective ] We analyzed 26 patients who postoperation of hypospadias repair developed urethral divertieula to attempt to identify predisposing factors and appropriate management strategies. [ Methods ] We reviewed the patients for hypospadias complications at our Hospital from 1 January 1998 to January 2008. mean age 5 years. Of all, there are 5 patients have fistula, 10 patients have urehtral stricture and one has stone. Resected the diverticulum, repair of the complications, and covered the neourehta with the flap of dartos. [Results] Follow-up 1 to 2 years, 25 patients were successful in one stage repair and one patient have urethral fistula eured after another surgery. [ Conclusions ] Diverticula are uncommon after hypospadias repair, and more likely to have perineal/proximal hypospadias. It is a excellent technique that repair the diverticula with resection the the diverticula and covered it with the flap of dartos.
出处
《中国现代医学杂志》
CAS
CSCD
北大核心
2009年第21期3266-3268,共3页
China Journal of Modern Medicine
