摘要
目的 总结阴囊中隔肉膜蒂皮瓣治疗复杂性后尿道闭锁 15年经验。 方法 回顾性分析 32例采用耻骨下部分入路阴囊中隔肉膜蒂皮瓣移植治疗复杂性后尿道闭锁临床资料。 32例年龄 3～ 5 1岁 ,其中儿童 8例结结果 一次手术成功 31例 (97% )。 2 7例经 3个月至 7年随访 ,排尿通畅 2 5例 (93% )。最大尿流率成人 15～ 18ml/s,儿童 8～ 12ml/s。 2例狭窄复发需再次手术 ;2例成人球部移植尿道小囊袋形成并有毛发生长。 结论 阴囊中隔肉膜蒂皮瓣是较理想的复杂性后尿道闭锁修复材料。
Objective To report the experience in managing complex posterior urethral obliteration with dartos island skin flap. Methods 32 patients with complex posterior urethral obliteration were treated with dartos island skin flap substitution urethroplasty.Partial resection of the inferior pubic synphysis was needed to facilitate high proximal placement of the flap. Results The outcome was excellent in 31 (97%).Including subsequent procedures,the over all 3 months～7 years fllowup investigations were carried out in 27 patients.Urinary flow rates of more than 15 ml/s (for adults) and 8 ml (for children) could be achieved in 25 of 27 patients.Two patients with urinary flow decreased required further reconstruction.The hairy pouch formed within scrotal skin flap was noted in two patients. Conclusions Dartos island skin flap urethroplasty is a highly effective 1-stage method of reconstructing complex posterior urethral obliteration.
出处
《中华泌尿外科杂志》
CAS
CSCD
北大核心
2003年第6期406-408,共3页
Chinese Journal of Urology
