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目的 :探讨带蒂阴茎、阴囊纵隔联合皮瓣正位尿道开口Ⅰ期尿道下裂成形术的临床应用。 方法 :对 14 9例不同类型尿道下裂病人分别行带蒂阴茎、阴囊纵隔联合皮瓣正位尿道开口Ⅰ期成形术 ,并改进了引流形式。 结果 :一次排尿成功 12 2例 ,出现漏尿、包皮水肿 2 7例 ,其中尿道皮肤瘘 3例。 结论 :该手术方式适用于严重阴茎头型、阴茎型、轻度阴囊型的尿道下裂。该术式操作简单 ,易于掌握 ,但应注意术后感染的预防及引流管的护理
Objective: To investigate the clinical application of stage Ⅰ hypospadias in patients with pedicled penis and scrotum mediastinum flap. Methods: One hundred and forty-nine patients with different types of hypospadias were treated with pedicled penis and scrotal mediastinum combined with open-door urethral incision. The drainage form was improved. Results: One time of urination was successful in 12 2 cases, with leakage of urine and foreskin edema in 27 cases, including 3 cases of urethral skin fistula. Conclusion: The surgical method is suitable for severe penis head, penis type, mild scrotal hypospadias. The operation is simple, easy to grasp, but should pay attention to the prevention of postoperative infection and drainage tube care