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两期尿道下裂修复术的手术经验

Surgical experience in two-stage hypospadias repair.

作者信息

Nakada T, Terada T, Shimazaki J

机构信息

Department of Urology, Chiba University, School of Medicine, Japan.

出版信息

Int Urol Nephrol. 1989;21(3):317-24. doi: 10.1007/BF02559743.

DOI:10.1007/BF02559743
PMID:2807784
Abstract

Hypospadias can be categorized as glandular, penile, scrotal or perineal hypospadias. Diversified surgical procedures have been devised for the reparation of this congenital anomaly. The surgical method consists of 3 chief parts: avoidance of fistula formation, resection of the chordee and construction of the distal urethra. Infrequently a fistula following operation in this disease can be cured by urethral drainage, but in the majority of cases surgical repair is indispensable. Subsequently operative or postoperative complications must be decreased. The technical performance and accompanying problems for these points in the management of hypospadias are described.

摘要

尿道下裂可分为阴茎头型、阴茎型、阴囊型或会阴型尿道下裂。针对这种先天性畸形的修复,已经设计出了多种外科手术方法。手术方法主要包括三个部分:避免形成瘘管、切除阴茎下弯以及构建远端尿道。在这种疾病中,术后偶尔出现的瘘管可通过尿道引流治愈,但在大多数情况下,手术修复是必不可少的。随后必须减少手术或术后并发症。本文描述了尿道下裂治疗中这些要点的技术操作及伴随问题。

相似文献

1
Surgical experience in two-stage hypospadias repair.两期尿道下裂修复术的手术经验
Int Urol Nephrol. 1989;21(3):317-24. doi: 10.1007/BF02559743.
2
Single layered small intestinal submucosa in the repair of severe chordee and complicated hypospadias.单层小肠黏膜下层用于修复重度阴茎下弯和复杂性尿道下裂。
J Urol. 2003 Oct;170(4 Pt 2):1593-5; disussion 1595. doi: 10.1097/01.ju.0000083863.01634.e1.
3
Management of recurrent urethral fistulas after hypospadias repair.尿道下裂修复术后复发性尿道瘘的处理
Urology. 2003 Feb;61(2):448-51. doi: 10.1016/s0090-4295(02)02146-5.
4
Radical bulbar dissection to correct severe chordee and proximal hypospadias.根治性球部解剖术以矫正重度阴茎下弯和近端尿道下裂。
J Urol. 2000 Oct;164(4):1347-9.
5
A case for 2-stage repair of perineoscrotal hypospadias with severe chordee.重度阴茎下弯的会阴阴囊型尿道下裂两期修复病例
J Urol. 2002 Oct;168(4 Pt 2):1727-8; discussion 1729. doi: 10.1097/01.ju.0000027276.83141.8b.
6
[Glandular and penile hypospadias. Elements of the abnormality. Therapeutic implications and results. From a study of 135 protocols].[腺性和阴茎型尿道下裂。异常因素。治疗意义及结果。基于135份病例报告的研究]
Ann Urol (Paris). 1984 Feb;18(1):21-7.
7
The Staged Urethroplasty with Vascularised Scrotal Flap and Buccal Mucosa Graft after Failed Hypospadias Surgery: A Reliable Technique with a Novel Tool.尿道下裂手术失败后采用带血管蒂阴囊皮瓣和颊黏膜移植的分期尿道成形术:一种具有新型工具的可靠技术
Urol Int. 2017;99(1):36-42. doi: 10.1159/000464107. Epub 2017 Mar 11.
8
Experience with the van der Meulen one-stage hypospadias repair.范德梅伦一期尿道下裂修复术的经验。
J Pediatr Surg. 1979 Apr;14(2):177-9. doi: 10.1016/0022-3468(79)90014-9.
9
[One stage repair of scrotal and perineal hypospadias with prepuce island flap].[应用包皮岛状皮瓣一期修复阴囊与会阴型尿道下裂]
Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2004 Nov;18(6):464-5.
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Tunica vaginalis: an aid in hypospadias fistula repair: our experience of 14 cases.鞘膜:尿道下裂瘘修补术中的辅助手段:我们的14例经验
Afr J Paediatr Surg. 2011 May-Aug;8(2):164-7. doi: 10.4103/0189-6725.86054.

本文引用的文献

1
Diseases of the urinary system (surgical); diagnostic and operative techniques for the urinary system.泌尿系统疾病(外科);泌尿系统的诊断与手术技术。
Annu Rev Med. 1955;6:377-84. doi: 10.1146/annurev.me.06.020155.002113.
2
Decreased fistula formation with modified Denis Browne hypospadias repair.改良Denis Browne尿道下裂修复术可减少瘘管形成。
J Urol. 1980 May;123(5):754-5. doi: 10.1016/s0022-5347(17)56118-2.
3
The Denis Browne repair for hypospadias: a review of 14 years of consecutive experience.用于尿道下裂的丹尼斯·布朗修复术:连续14年经验回顾
J Urol. 1981 May;125(5):706-7. doi: 10.1016/s0022-5347(17)55172-1.
4
Experience with the Belt-Fuqua hypospadias repair.贝尔特-富卡尿道下裂修复术的经验
J Urol. 1981 May;125(5):703-5. doi: 10.1016/s0022-5347(17)55170-8.
5
Chordee without hypospadias in children.儿童无尿道下裂的阴茎下弯
J Urol. 1982 Sep;128(3):559-61. doi: 10.1016/s0022-5347(17)53045-1.
6
Complications of hypospadias repair.尿道下裂修复术的并发症。
J Urol. 1984 Mar;131(3):518-22. doi: 10.1016/s0022-5347(17)50475-9.
7
[Hypospadias. 3. Urethroplasties. Results. Complications].[尿道下裂。3. 尿道成形术。结果。并发症]
Ann Chir Infant. 1969 Jul-Aug;10(4):310-76.
8
The Barcat balanic groove technique for the repair of distal hypospadias.用于修复远端尿道下裂的巴尔卡特阴茎头沟技术。
J Urol. 1987 Jan;137(1):83-5. doi: 10.1016/s0022-5347(17)43879-1.
9
The mucosal collar in hypospadias surgery.
J Urol. 1987 Jan;137(1):80-2. doi: 10.1016/s0022-5347(17)43878-x.
10
Free graft patch 1-stage procedure to repair penile hypospadias unsuitable for the flip-flap procedure: indications and experience.游离移植物补片一期修复法治疗不适用于翻转皮瓣手术的阴茎下裂:适应证与经验
J Urol. 1986 Aug;136(2):433-5. doi: 10.1016/s0022-5347(17)44894-4.