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一期尿道下裂修复术:367例经验

One-stage hypospadias repair: experience of 367 cases.

作者信息

Rickwood A M, Anderson P A

机构信息

Department of Paediatric Urology, Royal Liverpool Children's Hospital, Alder Hey.

出版信息

Br J Urol. 1991 Apr;67(4):424-8. doi: 10.1111/j.1464-410x.1991.tb15171.x.

DOI:10.1111/j.1464-410x.1991.tb15171.x
PMID:2032082
Abstract

Over a 6 1/2-year period we performed 374 primary hypospadias repairs, all but 7 as single-stage procedures. We usually employed the MAGPI, tubed preputial island flap and Mathieu reconstructions. Complications were comparatively few, with an overall incidence of 5% fistulae, 3% anastomotic strictures and 7% meatal retraction or stenosis. The cosmetic results were superior to those of staged procedures in that it was almost always possible to obtain a glanular meatus which was both terminal and realistic.

摘要

在6年半的时间里,我们进行了374例原发性尿道下裂修复手术,除7例以外均为一期手术。我们通常采用MAGPI术、带蒂包皮岛状皮瓣术和马蒂厄重建术。并发症相对较少,瘘管的总体发生率为5%,吻合口狭窄为3%,尿道口退缩或狭窄为7%。美容效果优于分期手术,因为几乎总能获得一个位于龟头顶端且逼真的尿道口。

相似文献

1
One-stage hypospadias repair: experience of 367 cases.一期尿道下裂修复术:367例经验
Br J Urol. 1991 Apr;67(4):424-8. doi: 10.1111/j.1464-410x.1991.tb15171.x.
2
Hypospadias repair by skin flaps: a comparison of onlay preputial island flaps with either Mathieu's meatal-based or Duckett's tubularized preputial flaps.采用皮瓣修复尿道下裂:岛状包皮瓣覆盖术与马蒂厄尿道口基底皮瓣术或达克特包皮管形皮瓣术的比较
BJU Int. 1999 Jun;83(9):1032-8. doi: 10.1046/j.1464-410x.1999.00083.x.
3
Can previously relocated penile skin be successfully used for salvage hypospadias repair?先前重新定位的阴茎皮肤能否成功用于挽救性尿道下裂修复?
J Urol. 1994 Aug;152(2 Pt 2):740-3; discussion 743. doi: 10.1016/s0022-5347(17)32695-2.
4
Pedicle patch urethroplasty.带蒂补片尿道成形术。
Br J Urol. 1991 Apr;67(4):420-3. doi: 10.1111/j.1464-410x.1991.tb15170.x.
5
The Effect of Staged Transverse Preputial Island Flap Urethroplasty for Proximal Hypospadias with Severe Chordee.分期横形带蒂包皮岛状皮瓣尿道成形术治疗严重弯曲型近端型尿道下裂的疗效。
J Urol. 2016 Nov;196(5):1536-1540. doi: 10.1016/j.juro.2016.05.098. Epub 2016 May 31.
6
The management of proximal hypospadias using a 1-stage hypospadias repair with a preputial free graft for neourethral construction and a preputial pedicle flap for ventral skin coverage.
J Urol. 1994 Dec;152(6 Pt 2):2335-7. doi: 10.1016/s0022-5347(17)31671-3.
7
Modified ASOPA procedure (Hodgson XX) achieves the goals of hypospadias repair.改良式 ASOPA 手术(霍奇森 XX 法)实现了尿道下裂修复的目标。
J Pediatr Surg. 1996 Jul;31(7):917-9. doi: 10.1016/s0022-3468(96)90410-8.
8
[Use of the pedicled transverse preputial flap in the surgery of hypospadias. Apropos of 100 cases].
Chir Pediatr. 1987;28(4-5):220-3.
9
[Urethroplasty with oblique preputial island flap for the treating of hypospadia].采用斜行包皮岛状皮瓣尿道成形术治疗尿道下裂
Zhonghua Nan Ke Xue. 2006 Apr;12(4):337-9.
10
Primary hypospadias repair with single stage techniques.采用单阶段技术进行原发性尿道下裂修复。
Aust N Z J Surg. 1987 Sep;57(9):647-50. doi: 10.1111/j.1445-2197.1987.tb01442.x.

引用本文的文献

1
A modified onlay island flap vs. Mathieu urethroplasty for distal hypospadias repair: A prospective randomised study.改良覆盖岛状皮瓣与马蒂厄尿道成形术治疗远端尿道下裂的比较:一项前瞻性随机研究。
Arab J Urol. 2015 Sep;13(3):169-75. doi: 10.1016/j.aju.2015.06.005. Epub 2015 Jul 26.
2
Role of the urethral plate characters in the success of tubularized incised plate urethroplasty.尿道板特征在管状切开尿道成形术成功中的作用。
Indian J Plast Surg. 2014 May;47(2):227-31. doi: 10.4103/0970-0358.138956.
3
Two-stage repair for proximal hypospadias: a reappraisal.
近端尿道下裂的两阶段修复:重新评估
Curr Urol Rep. 2003 Apr;4(2):151-5. doi: 10.1007/s11934-003-0043-x.
4
Clinical experiences with different one-staged surgical methods for primary hypospadias cases.原发性尿道下裂病例不同一期手术方法的临床经验。
Int Urol Nephrol. 2002;33(1):107-12. doi: 10.1023/a:1014433826174.