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目的探讨阴茎根部推进皮瓣重建阴茎阴囊角治疗各型尿道下裂的疗效及美观性。方法 2014年2月—2016年2月,方便收集筛选该院50例无合并症患儿,采用阴茎根部推进皮瓣重建阴茎阴囊角治疗尿道下裂中阴茎体型42例,阴茎阴囊型7例,会阴型1例。均采用Duckett术,重度尿道下裂(阴囊型、会阴型)采用Duckett+Duplay治疗。结果术后皮瓣血运良好,皮瓣色泽正常,无皮下血肿,无皮瓣坏死及切口感染。皮瓣全部存活,存活率达100%。6例尿瘘,无一例出现尿道狭窄及尿道憩室等并发症,手术成功率达88%。随访6个月~2年,阴茎体挺立、皮瓣规整、外形美观,家长满意度高。结论阴茎根部推进皮瓣重建阴茎阴囊角治疗各型尿道下裂的疗效满意,并发症少,美观性佳,操作简单,实用性强。
Objective To investigate the curative effect and aesthetics of various types of hypospadias by reconstructing the penis and scrotum at the root of the penis. Methods From February 2014 to February 2016, 50 cases of children without complications in this hospital were collected and screened conveniently. 42 cases of penis sclera and 7 cases of penis scrotum were reconstructed by penis scrotum reconstruction flap. Perineal type in 1 case. Duckett surgery was used, and severe hypospadias (scrotum and perineum) were treated with Duckett + Duplay. Results The blood flow of the flap was good, the color of the flap was normal, no subcutaneous hematoma, no flap necrosis and incision infection. Flaps all survive, the survival rate of 100%. 6 cases of urinary fistula, no case of urethral stricture and other complications of urethral diverticulum, the success rate of 88%. Follow-up 6 months to 2 years, the penis body upright, flap regular, beautiful appearance, parents satisfaction. Conclusions The penis scrotum flap reconstruction penis scrotum angle for the treatment of various types of hypospadias satisfactory results, fewer complications, good aesthetics, simple, practical and strong.