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目的通过对40例两种术式一期尿道下裂修复术的回顾性分析,比较尿液转流的作用。方法将40例分为尿液转流组和非尿液转流组两组进行比较。结果尿液转流组:阴囊纵隔皮瓣法有2倒(2/14例,14%)同时并发尿瘘和感染,阴茎腹侧皮肤岛状瓣法有1/11例(9%)同时发生尿瘘及感染,非尿液转流组中阴茎腹侧皮肤岛状瓣法有4例(50%)发生尿瘘,阴囊纵隔皮瓣法无一例并发感染和尿瘘。结论应用阴囊纵隔皮瓣一期再造尿道时可以不进行尿液转流,而在应用阴茎皮肤岛状瓣一期修复尿道下裂时,进行尿液转流有利于较小尿瘘的自行愈合及减少尿瘘的发生。
Objective By retrospective analysis of 40 cases of two surgical primary hypospadias repair, the role of urinary diversion was compared. Methods 40 cases were divided into urinary transfusion group and non-urine transfusion group two groups for comparison. Results There were 2 cases (2/14 cases, 14%) with simultaneous urinary fistula and infection in the urinary diversion group: 1 case (9%) with urinary fistula In 4 cases (50%) of penile ventral skin island flap method in infection and non-urine diverting group, no fistula occurred, and no case of concurrent infection and urinary fistula was found in mediastinal flap of scrotum. CONCLUSIONS: The use of the scrotal mediastinal flap to reconstruct the urethra can not divert the urinary tract. However, when the penis skin island flap is used to repair the hypospadias, the urine flow is beneficial to the healing and the reduction of the smaller urinary fistula Occurrence of urinary fistula.