尿道板纵切卷管尿道成形术治疗尿道下裂32例临床分析

The clinical analysis of treatment for 32 cases with hypospadias and reelpipe by urethra plate urethroplasty

摘要: 目的：探讨尿道板纵切卷管尿道成形术治疗尿道下裂的适应证、手术技巧、并发症。方法：对32例尿道下裂患者进行尿道板纵切卷管尿道成形术，其中冠状沟型3例，阴茎体型27例，阴茎阴囊2例。首次手术29例，采用尿道板正中切开卷管；再次手术3例，采用残余尿道板或阴茎皮肤正中切开卷管。卷管长1～9cm，新尿道采用F6～F10号的多侧孔胃管作为支架管，术后10～14d拔除。结果：随访0.5～2年，32例中27例一次手术成功，阴茎外观接近生理形态，排尿正常，成功率84.4%。尿瘘4例，均行尿瘘修补术痊愈；尿瘘并尿道狭窄1例，尿道扩张后狭窄改善，尿瘘待手术。结论：尿道板纵切卷管尿道成形术操作简单，治疗效果好，术后阴茎外形美观，是尿道下裂修复术的较好方法。

Abstract: To explore the indication, technique and complications of treatment for hypospadias with reelpipe by urethraplate urethroplasty. Methods: Thirtywocases with hypospadias including 3 cases of coronary sulcusf月sesof peniscrotum were treated withof reoperation were reelpiped with incised plate urethroplasty.