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1、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惠州市屮大惠亚医院外科广东惠州516081)(2屮山大学附属第一医院黄埔院区泌鉍外科广东广州510700)(3屮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A板尿道成形术I期治疗重型尿道卜裂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(
2、8.54%)出现鉍道瘘，经再次修补均已治愈；2例(2.44%)出现鉍道外门狹窄,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成形术治疗重型尿道K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【屮图分类号】R615【文献标识码】A【文章编号】2095-1752(2014)10-0389-02UrethroplastyRepairviaCombiningUrethralPlatewithFreeInn
3、erPreputialSkinPlateinStagedTreatmentofSevereHypospadias(82cases)LITeng-linl,WANGWen-wei2,ZHOUCai-mei2,XieJia-lun31.SurgerydepartmentofHuiyaHospitalofHuiZhou,SunYat-senUniversity,Huizhou,Guangdong,516081,China2.UrologydepartmentofHuangpuHospital,Thefirstaffiliatedhospitalo
4、fSunYat-senUniversityofMedicalScience,Guangzhou,Guangdong,510700,China1.PediatricSurgerydepartmentofthefirstaffiliatedhospitalofSunYat-senUniversityofMedicalScience.Guangzhou,Guangdong,510080,ChinaCorrespondingAuthor:WANGWen-wei,Email:wangww2000@yahoo.cn[Abstract]Objective
5、Toevaluateclinicalefficacyandpatientsatisfactionofurethroplastyrepairviacombingurethralplatewithfreeinnerpreputialskinplatinstage-1treatmentofseverehypospadias.MethodsOne-yearfollow-upsurveyofsatisfactionrateby82externalgenitaliapatientswhohadreceivedsurgeryduringtheyearsf
6、romJanuary,2006toJanuary,2014.Allthepatientswerediagnosedasofseverehypospadiasandtreatedwithurethroplastyrepairbyusingbothurethralplateandfreeinnerpreputialskinplate.ResultsThesurveyof82patientsshows:73/82(89.02%)patientswerecuredsuccessfullyafterStage-1repairtreatment.Ure
7、thr-ocutaneousfistulaoccurredin7patients(8.54%),andasecondtherapywereperformed;mildmeatalstenosisoccurredin2patients(2.44%)andweretreatedbyurethralsounding;andthenallthe9patientswerecuredsuccessfully.Therateofsatisfactionwas81.71%(67/82)bypatientsand89.02%(73/82)bydoctors.
8、ConclusionThesurveyprovedthatcombinationofurethralplateandfreeinnerpreputialskinplateinur
