论文部分内容阅读
我院小儿外科近年来采用保留尿道板、外嵌带蒂岛状纵向包皮瓣一期尿道成形术治疗先天性尿道下裂42例,效果满意,报告如下。材料与方法本组42例中阴茎干中、近端型27例,阴茎阴囊型13例,阴囊型2例。年龄8个月～9岁,平均3.2岁。具体手术步骤:①先在阴茎腹侧作保留尿板的 U形切口,两切口相距0.6～0.8 cm,近端绕过尿道外口(附图-1)。切口深达阴茎白膜,暂不切开龟头腹侧。②使阴茎背侧皮肤脱套至阴茎根部,再从阴茎两侧向腹侧分离解剖,彻底切除尿道板两旁的异常纤维索带和瘢痕组织,若阴茎仍不能伸直,仔细解剖并提起尿道板,切除尿道板深层的纤维索带,同时游离近端尿道1.5～2.0 cm(附图-2)。③术中人工阴
Pediatric surgery in our hospital in recent years, the use of retained urethral plate, with embedded pedicle island longitudinal flap a phase urethroplasty in the treatment of congenital hypospadias in 42 cases, the results are satisfactory, the report is as follows. Materials and Methods The group of 42 cases of penile stem, proximal 27 cases, 13 cases of penis scrotum, 2 cases of scrotum. Aged 8 months to 9 years old, average 3.2 years old. Specific surgical steps: ① first in the penile ventral reserve U-shaped incision, the two incisions 0.6 ~ 0.8 cm, the proximal bypass urethral orifice (Figure -1). Incision deep penile white film, temporarily cut the glans ventral. ② the dorsal penis skin to the penis root, and then separated from the penis to the ventral anatomy, complete removal of the urethral abnormal fibes both sides of the band and scar tissue, if the penis can not be straight, carefully dissected and raised the urethral plate , Remove the depth of the urethral fiber cord, while free proximal urethra 1.5 ~ 2.0 cm (Figure -2). ③ intraoperative artificial overcast