基于肉膜的腹侧皮瓣用于预防尿道下裂尿道成形术后的尿道皮肤瘘。
Ventral based dartos flap for the prevention of the urethrocutaneous fistula urethroplasty.
作者信息
Hayashi Yutaro, Kojima Yoshiyuki, Nakane Akihiro, Kurokawa Satoshi, Tozawa Keiichi, Kohri Kenjiro
机构信息
Department of Nephro-urology, Graduate School of Medical Sciences, Nagoya City University, Nagoya, Japan.
出版信息
Int J Urol. 2007 Aug;14(8):725-8. doi: 10.1111/j.1442-2042.2007.01811.x.
BACKGROUND
Urethrocutaneous fistula is a common complication of urethroplasty for hypospadias even when a microsurgical technique is applied.
METHODS
From January 1999 to November 2006, we applied the ventral based dartos flap wrapping technique to prevent the occurrence of urethrocutaneous fistula in 34 patients with hypospadias.
RESULTS
Hypospadias was repaired without fistula formation in 31 patients while three patients developed a tiny fistula, which was later closed successfully by a simple procedure.
CONCLUSION
We conclude that the ventral based dartos flap wrapping technique could be an alternative to the dorsal dartos flap for covering the neourethra with a vascularized flap because the procedure is very simple, and complications rarely occur.
背景
即使采用显微外科技术，尿道下裂修复术后尿道皮肤瘘仍是一种常见并发症。
方法
1999年1月至2006年11月，我们应用基于腹侧的肉膜瓣包裹技术，预防34例尿道下裂患者发生尿道皮肤瘘。
结果
31例患者尿道下裂修复术后未形成瘘管，3例患者出现微小瘘管，后经简单手术成功闭合。
结论
我们得出结论，基于腹侧的肉膜瓣包裹技术可作为背侧肉膜瓣的替代方法，用带血管蒂的皮瓣覆盖新尿道，因为该手术非常简单，并发症很少发生。
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