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目的探讨应用睾丸鞘膜重建尿道的可行性。方法本组17例尿道下裂患者,其中15例同时合并有睾丸鞘膜积液,其余2例同时合并有隐睾,前者采用带蒂睾丸鞘膜一期修复尿道,后者采用游离睾丸鞘膜一期修复尿道。观察其术后效果并进行临床分析。结果除1例应用带蒂睾丸鞘膜者发生尿瘘外,余16例均获痊愈,无尿道狭窄,阴囊阴茎外观满意,阴茎伸展自如。结论带蒂睾丸鞘膜血供好,重建尿道修复同时合并有睾丸鞘膜积液的尿道下裂疗效确切,操作简单。用游离睾丸鞘膜重建尿道修复同时合并有隐睾的尿道下裂也能取得较好的效果。
Objective To explore the feasibility of using testicular sheath reconstruction of the urethra. Methods The group of 17 patients with hypospadias, of which 15 cases were combined with testicular hydrocele, while the remaining two cases complicated by cryptorchidism, the former with a pedicled suture of the testis sheath urethra, the latter using the free testis sheath A repair of the urethra. Observe the postoperative effects and clinical analysis. Results In addition to 1 case of pedicled testicular sheath occurred in patients with urinary fistula, more than 16 cases were cured, no urethral stricture, scrotal penis appearance satisfactory, penis stretch freely. Conclusion The pedicled sphincter blood supply, reconstruction of the urethra with hydrocephalus hydrocele combined with hypospadias exact effect, simple operation. With free testis sheath reconstruction of the urethra with cryptorchid hypospadias can also get better results.