张如鸿 程开祥 王善良 黄文义 张如鸿(上海第二医科大学附属第九人民医院整形外科 200011)；程开祥(上海第二医科大学附属第九人民医院整形外科 200011)；王善良(上海第二医科大学附属第九人民医院整形外科 200011)；黄文义(上海第二医科大学附属第九人民医院整形外科 200011) 中华泌尿外科杂志 2000 0 21 1


    关键词：尿道下裂；手术后并发症 期刊 zhmnwkzz 0 46-48 论著 fur -->


    

摘 要：目的 探讨尿道下裂手术后并发症发生因素和预防处理的办法。方法 对7年110例尿道下裂不同手术方法(Duplay法40例，阴囊纵隔瓣法30例，Duckett包皮瓣法40例)的并发症进行分析。结果 并发症包括尿瘘31例(28.2%)，尿道憩室或狭窄6例，尿道僵直4例，非正常尿道开口28例(25.6%)，阴茎扭转9例。结论 降低尿瘘的发生率是尿道下裂手术成功的关键，Duckett包皮瓣法可作为尿道下裂手术治疗的首选方法。

Complications of hypospadias repair

ZHANG Ruhong

    (Department of Plastic and Reconstructive Surgery,Shanghai 9th People's Hospital,the Second Medical University,Shanghai 200011,China)

    CHENG Kaixiang

    (Department of Plastic and Reconstructive Surgery,Shanghai 9th People's Hospital,the Second Medical University,Shanghai 200011,China)

    WANG Shanliang

    (Department of Plastic and Reconstructive Surgery,Shanghai 9th People's Hospital,the Second Medical University,Shanghai 200011,China)

Abstract：Objective To study and analyze the complications of hypospadias repair.Methods In the past 7 years,a total of 110 cases underwent hypospadias repair by the method of Duplay(n=40),scrotal flap (30) and Duckett's preputial island flap (40) were reviewed and the complications were studied.Results Complications include fistula (n=31,28.2%),urethral diverticulum or stenosis (n=6),strictures (n=4),abnormal situation of the meatus (n=28,25.6%) and torsion

    of the penis (n=9).Conclusions To make the hypospadias repair successful,it is essential to lessen the complication of fistula.Du-ckett's procedure is recommended as the treatment of choice for hypospadias repair.

    Key words： Hypospadias Postoperative complications▲

从1991～1997年对110例尿道下裂患者行手术治疗并跟踪随访 ......