Al-Momani H M, Jabaiti S, Awwad Z, Qudaisat I
Jordan University Hospital, Amman, Jordan -
Minerva Pediatr. 2015 Aug;67(4):307-10. Epub 2014 Jul 3.
Aim of the study was to compare the success rates of simple multilayered repair with repair using local flap of urethrocutaneous fistulae after hypospadias surgery.
The charts of 45 children who developed fistulae after hypospadias repair were reviewed; 23 had a multilayered repair of the fistulae, whereas 22 had a repair using a local skin flap.
The success rate was 82.6% for simple multilayered repair and 95.5% for a repair using a local skin flap.
Repair using a local skin flap for urethrocutaneous fistulae after hypospadias surgery is not significantly of better success rate than simple multilayered repair.
本研究的目的是比较尿道下裂手术后单纯多层修复与局部皮瓣修复尿道皮肤瘘的成功率。
回顾了45例尿道下裂修复术后发生瘘管的儿童病历；23例进行了瘘管的多层修复，而22例采用局部皮瓣修复。
单纯多层修复的成功率为82.6%，局部皮瓣修复的成功率为95.5%。
尿道下裂手术后使用局部皮瓣修复尿道皮肤瘘的成功率并不显著高于单纯多层修复。
