陆毅群 葛琳娟 阮双岁 陆毅群(上海医科大学儿科医院外科 200032)葛琳娟(上海医科大学儿科医院外科 200032) 阮双岁(上海医科大学儿科医院外科 200032) 中华小儿外科杂志 2000 0 21 1


    关键词：尿道；尿道下裂；尿道狭窄 期刊 zhxrwkzz 0 9-10 尿道下裂相关问题 fur -->


    

摘 要：目的 分析尿道下裂尿道成形不同术式与术后尿道狭窄发生之间的关系。方法 总结1987年6月至1997年6月本院治疗的434例尿道下裂尿道成形术资料，术后合并尿道狭窄50例，分析不同术式、狭窄发生部位及狭窄发生率之间的关系。结果 尿道口前移，龟头成形术(MAGPI)、Onlayisland flap法(加盖岛状皮瓣技术)的狭窄率为0，Mathieu法的狭窄率较低，为9.3%，而Denni-Brown与膀胱粘膜法的狭窄率较高，分别为28.3%、36.0%。结论 阴茎头、冠状沟型的尿道下裂尽量采用MAGPI法；阴茎体型宜采用Mathieu法，而近端型宜采用Onlayisland flap或Duplay+Duckett法；只有当材料没有或缺乏时才考虑膀胱粘膜法。

    

Approaches to hypospadiasrepair and urethral stricture

LU Yiqun, GE Linjuan, YUANShuangsui

    (Department of Surgery, Children's Hospital, Shanghai Medical University, Shanghai 200032,China)

Abstract： Objective The aim of the study is toevaluate the stricture rates of different hypospadias repair.Method Of 434 patients who underwenthypospad ias repair between July 1987 and July 1997, 50 developed urethral strictures. Thestricture rate of each surgical approach was analyzed. Results The stricture rates of MAGPI andonlay island flap, Mathieu's operation, Dennis-Brown's procedure and bladder mucosa flapwere 0%, 0%, 9.3%, 28.3% and 36% respectively. Conclusions MAGPI is recommended forglandular and corona l hypospadias. Mathieu's operation is recommended for penile hypospadias. Onlay island flap or Duplay and Duckett's operation are recommended forproximal hypos padias. Bladder mucosal flap should be reserved for situations where theabove a pproaches are not feasible.

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