原位尿道板加游离包皮内板尿道成形术治疗重型尿道下裂(附82例报告).docVIP

精品论文 参考文献 原位尿道板加游离包皮内板尿道成形术治疗重型尿道下裂(附82例报告) 李腾林1 王文卫2 周彩梅2 谢家伦3 　　（1惠州市中大惠亚医院外科 广东惠州 516081) 　　 （2中山大学附属第一医院黄埔院区泌尿外科 广东广州 510700) 　　（3中山大学附属第一医院小儿外科 广东广州 510080) 　　【摘要】目的 评价原位尿道板加游离包皮内板尿道成形术Ｉ期治疗重型尿道下裂的临床疗效。方法 回顾分析我们2006年1月-2014年1月间采用原位尿道板加游离包皮内板尿道成形术Ｉ期治疗重型尿道下裂82例的临床资料并进行满意度调查。结果 随访1年，73例一次手术成功，总成功率89.02%；7例（8.54%）出现尿道瘘，经再次修补均已治愈；2例（2.44%）出现尿道外口狭窄,经尿道扩张后治愈。术后患者满意度为81.71%（67/82）；医师满意度为89.02%（73/82）。 结论 原位尿道板加游离包皮内板尿道???形术治疗重型尿道下裂具有疗效显著，患者满意度较高，可作为Ｉ期手术治疗的首选。 　　【关键词】重型尿道下裂 游离包皮内板 原位尿道板 　　【中图分类号】R615 【文献标识码】A 【文章编号】2095-1752（2014）10-0389-02 　　Urethroplasty Repair via Combining Urethral Plate with Free Inner Preputial Skin Plate in Stage-I Treatment 　　of Severe Hypospadias (82 cases) 　　LI Teng-lin1, WANG Wen-wei2, ZHOU Cai-mei2, Xie Jia-lun3 　　1. Surgery department of Huiya Hospital of Hui Zhou,Sun Yat-sen University, Huizhou, Guangdong, 516081,China 　　2.Urology department of Huangpu Hospital, The first affiliated hospital of Sun Yat-sen University of Medical Science, Guangzhou, Guangdong, 510700,China 　　3. Pediatric Surgery department of the first affiliated hospital of Sun Yat-sen University of Medical Science. Guangzhou, Guangdong, 510080,China 　　Corresponding Author: WANG Wen-wei，Email:wangww2000@yahoo.cn 　　【Abstract】Objective To evaluate clinical efficacy and patient satisfaction of urethroplasty repair via combing urethral plate with free inner preputial skin plat in stage-I treatment of severe hypospadias. Methods One-year follow-up survey of satisfaction rate by 82 external genitalia patients who had received surgery during the years from January, 2006 to January, 2014. All the patients were diagnosed as of severe hypospadias and treated with urethroplasty repair by using both urethral plate and free inner preputial skin plate. Results The survey of 82 patients shows: 73/82 (89.02%) patients were cured successfully after Stage-I repair treatment. Urethr-ocutaneous fistula occurred