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尿道下裂是一种较常见的先天性畸形。过去多采用Denis Brown氏法或其改良法,分二期手术。自1978年3月以来,我们采用膀胱粘膜尿道成形术,治疗先天性尿道下裂24例,疗效较为满意,现报告于下: 一、临床资料本组24例中,年龄最小者3岁,最大者26岁。阴茎型8例,阴茎阴囊型12例,会阴型4例。入院时已作过阴茎下曲矫正者5例。手术一次成功者21例,因合并症失败者3例。24例中21例术后已半年以上,随访结果,排尿均正常。二、手术步骤 (一)阴茎下曲矫正:沿冠状沟环形切开阴茎包皮,于腹侧保留一矩形皮瓣(图1)。在矩形皮瓣与尿道开口间,纵行切开阴茎腹侧皮肤后,分别从尿道沟两侧,切开阴茎筋膜至阴茎
Hypospadias is a more common form of congenital malformations. In the past to use more Denis Brown’s method or its improvement, divided into two phases of surgery. Since March 1978, we use bladder mucosa urethroplasty, the treatment of 24 cases of congenital hypospadias, the effect is more satisfactory, are reported below: First, the clinical data of the group of 24 cases, the youngest of 3 years old, the largest 26 years old. Penis type in 8 cases, 12 cases of penis scrotum, 4 cases of perineal. 5 cases of penile curvature correction have been made. Twenty-one patients were successful in surgery, and 3 patients failed due to comorbidities. Among the 24 cases, 21 cases had more than half a year after operation. The follow-up results showed that urination was normal. Second, surgical procedures (A) correction of penile curvature: incision along the coronary sulcus penile foreskin, the ventral to retain a rectangular flap (Figure 1). Between the rectangular flap and the urethral opening, longitudinal incision penile ventral skin, respectively, from both sides of the urethra, incision of the penis fascia to the penis