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尿道下裂尿道重建术后尿瘘发生率较高,有报道发生率在17～55%。我科统计尿道下裂45例,尿道重建术总的尿瘘发生率为30%,而其中1986年以前的39例尿瘘发生率更高。1986年以后我们采用显微外科技术行瘘环孔扎和重迭皮瓣法治疗6例(5例为 Brodbents 法术后,1例为阴囊纵隔皮瓣法术后)11个瘘孔,均一次修补成功,疗效满意,报道如下:临床资料本组6例,年龄6～13岁。11个瘘孔分别位于阴茎体和阴茎根部,直径最大5mm,最小1mm。手术修补时间一般在前次手术后半年以上,亦有1例2个瘘孔在前次术后3周行修补。
The incidence of urinary fistula after urethral reconstructive urethra surgery is higher, the incidence was reported in 17 to 55%. 45 cases of hypospadias in our department, urethral reconstruction of the total incidence of urinary fistula was 30%, of which 39 cases of urinary fistula before 1986 a higher incidence. After 1986, we used microsurgical techniques of fistula ring hole and overlapping flap treatment of 6 cases (5 cases of Brodbents spell, 1 case of scrotal mediastinal flap after surgery) 11 fistula holes, once Successful repair, efficacy satisfactory, reported as follows: Clinical data The group of 6 patients, aged 6 to 13 years. 11 fistula holes are located in the penis and penis roots, the largest diameter 5mm, the smallest 1mm. Surgery repair time generally more than six months after the previous surgery, there are 1 cases of 2 fistula in the last 3 weeks after surgery line repair.