Abstract:

Objective To investigate the phase Ⅱ in situ flap for the treatment of urethra shaping penis scrotal type hypospadias clinical curative effect, improve the level of the surgical treatment of patients with congenital hypospadias. Methods Between January 2011 and January 2016, 26 cases of penis scrotal type hypospadias patients take stage I straighten, penis foreskin penile ventral skin flap transfer. Six months after phase Ⅱ in situ flap for the treatment of urethra shaping hypospadias. Results Twenty-six patients with urethral stricture, 2 cases in the law of urethra expansion after urination improvement, 1 cases with anastomotic urinary fistula. Six months after repair success. All cases were followed up for 2 to 3 years, voiding, curative effect is satisfied. Conclusion Flap urethra in situ forming, to ensure the forming urethral blood supply, reduced the anastomotic tension, with a small injury, postoperative edema, the advantages of low incidence of urinary fistula, urethral stricture, which can effectively improve the curative effect.

Key words: in situ flap, hypospadias, urethroplasty, penis and scrotal type

摘要：

目的 探讨Ⅱ期原位皮瓣尿道成型术治疗阴茎阴囊型尿道下裂的临床疗效，提高先天性尿道下裂患者的手术治疗水平。方法 将2011年1月至2016年1月收治的26例阴茎阴囊型尿道下裂患者采取Ⅰ期阴茎伸直，包皮行阴茎腹侧皮瓣转移，6个月后行Ⅱ期原位皮瓣尿道成型术治疗尿道下裂。结果 26例患者中2例出现尿道狭窄，经规律尿道扩张后排尿症状改善；1例出现吻合口尿瘘，6个月后修补成功；所有病例均随访2~3年，排尿通畅，疗效满意。结论 原位皮瓣尿道成形，保证了成形尿道血供，降低了吻合口张力，具有损伤小，术后水肿轻，尿瘘、尿道狭窄发生率较低等优点，可有效提高手术疗效。

关键词: 原位皮瓣, 尿道成型, 尿道下裂, 阴茎阴囊型