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为了提高尿道下裂手术的成功率，降低并发症的发生，为了满足患者的心理，使外观更趋于完美的要求，近８年来我们采用正位尿道口阴囊纵隔皮管一期修复尿道下裂２４例，除２例并发尿道口狭窄，余２２例一次成功，成功率达９２％。体会到阴茎头隧道用竹针从阴茎腹侧白膜和阴茎头白膜间向阴茎头尖端刺入不穿透皮肤作支撑，用电刀沿竹针（绝缘体）切割阴茎头海绵体能减少并发症，提高成功率。同时对带有血运的带蒂阴囊纵隔皮管成形尿道和术前、术中、术后的注意事项作了讨论。另外，认为正位尿道口术式中阴茎头隧道法优于阴茎头劈开法
In order to improve the success rate of hypospadias surgery and reduce the incidence of complications, in order to meet the patient’s psychology, the appearance of the more perfect requirements, the past 8 years we use orthostatic urethral mediastinal mediastinal transepidermal duct repair hypospadias In 24 cases, except for 2 cases with urethral stricture, the other 22 cases were successful at one time, with a success rate of 92%. Experience the penis tunnel with bamboo needles from the penis ventral white film and penis head white film to the tip of the penis piercing does not penetrate the skin for support, cutting knife along the bamboo needle (insulator) penis sponge can reduce complications , Improve the success rate. At the same time, we discussed the precautions of preoperative, intraoperative and postoperative precautions for the formation of the urethra of pedicled scrotum with mediastinal blood vessels. In addition, orthoperitoneal urethral surgery is better than the first glans penis split method