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改良金-霍夫曼尿道成形术用于阴茎远端尿道下裂的一期修复。

Modification of the King-Hoffman urethroplasty for one-stage repair of distal shaft penile hypospadias.

作者信息

Koyanagi T

出版信息

Int Urol Nephrol. 1984;16(3):219-25. doi: 10.1007/BF02082566.

DOI:10.1007/BF02082566
PMID:6384100
Abstract

A new method of one-stage surgical correction of distal to penoscrotal hypospadias is described. The chordee is released by skin lysis alone and urethroplasty is done by the flip-flap technique while the globular glans is rerolled over the new urethra, all in one stage. The complication rate was minimal (15 per cent), and acceptable in the 40 patients who underwent this modified one-stage King-Hoffman urethroplasty.

摘要

本文描述了一种一期手术矫正阴茎阴囊型尿道下裂远端的新方法。仅通过皮肤松解来矫正阴茎弯曲,采用翻转皮瓣技术进行尿道成形术,同时将球状龟头重新包裹在新尿道上,所有操作均在一期完成。并发症发生率极低(15%),在接受这种改良一期金-霍夫曼尿道成形术的40例患者中,该并发症发生率是可接受的。

相似文献

1
Modification of the King-Hoffman urethroplasty for one-stage repair of distal shaft penile hypospadias.改良金-霍夫曼尿道成形术用于阴茎远端尿道下裂的一期修复。
Int Urol Nephrol. 1984;16(3):219-25. doi: 10.1007/BF02082566.
2
[Results of single-stage repair of distal hypospadias using the King modification].[使用金氏改良法进行远端尿道下裂一期修复的结果]
Urologe A. 1988 Jul;27(4):246-9.
3
Tubularized, incised plate urethroplasty in hypospadias repair: experience at Queen Sirikit National Institute of Child Health.管状切开板尿道成形术治疗尿道下裂:诗丽吉王后国家儿童健康研究所的经验
J Med Assoc Thai. 2003 Aug;86 Suppl 3:S522-30.
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The "long Snodgrass": applying the tubularized incised plate urethroplasty to penoscrotal hypospadias in 1-stage or 2-stage repairs.“长斯诺德格拉斯术式”:在一期或二期修复中应用管状化切开包皮板尿道成形术治疗阴茎阴囊型尿道下裂
J Urol. 2002 Oct;168(4 Pt 2):1748-9; discussion 1750. doi: 10.1097/01.ju.0000028384.89118.24.
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Cecil urethroplasty with concurrent scrotoplasty for repair of hypospadias.塞西尔尿道成形术联合阴囊成形术治疗尿道下裂。
J Urol. 1979 Mar;121(3):335-8. doi: 10.1016/s0022-5347(17)56777-4.
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Transverse preputial onlay island flap urethroplasty for single-stage correction of proximal hypospadias.横行包皮岛状皮瓣尿道成形术用于一期矫正近端尿道下裂。
World J Urol. 2016 Jul;34(7):1019-24. doi: 10.1007/s00345-015-1686-1. Epub 2015 Sep 22.
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Complete repair of severe penoscrotal hypospadias in 1 stage: experience with urethral mobilization, wing flap-flipping urethroplasty and "glanulomeatoplasty".一期完成重度阴茎阴囊型尿道下裂修复:尿道游离、翼状皮瓣翻转尿道成形术及“龟头尿道口成形术”的经验
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Repair of hypospadias complications using the meatal based flap urethroplasty.使用基于尿道口的皮瓣尿道成形术修复尿道下裂并发症。
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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.
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Comparative analysis of tubularized incised plate versus onlay island flap urethroplasty for penoscrotal hypospadias.管状切开板与覆盖岛状皮瓣尿道成形术治疗阴茎阴囊型尿道下裂的对比分析
J Urol. 2007 Oct;178(4 Pt 1):1451-6; discussion 1456-7. doi: 10.1016/j.juro.2007.05.170. Epub 2007 Aug 16.

引用本文的文献

1
Repair of severe proximal hypospadias associated with bifid scrotum.伴有阴囊分裂的重度近端尿道下裂修复术。
Int Urol Nephrol. 1984;16(2):115-21. doi: 10.1007/BF02082774.

本文引用的文献

1
Hypospadias.尿道下裂
Am J Surg. 1950 Aug;80(2):183-91. doi: 10.1016/0002-9610(50)90527-7.
2
A technique for consistently satisfactory repair of hypospadias.一种始终能实现满意的尿道下裂修复的技术。
Surg Gynecol Obstet. 1955 Feb;100(2):184-90.
3
Mobilization of the urethra in the surgical treatment of hypospadias.尿道下裂手术治疗中尿道的游离
J Urol. 1981 Mar;125(3):394-7. doi: 10.1016/s0022-5347(17)55048-x.
4
The surgical treatment of coronal hypospadias and related problems.冠状沟型尿道下裂及其相关问题的外科治疗
J Urol. 1968 Oct;100(4):504-8. doi: 10.1016/s0022-5347(17)62560-6.
5
Hypospadias--a one-stage repair without skin graft based on a new principle: chordee is sometimes produced by the skin alone.尿道下裂——基于一项新原理的无皮瓣一期修复术:阴茎弯曲有时仅由皮肤引起。
J Urol. 1970 May;103(5):660-2. doi: 10.1016/s0022-5347(17)62023-8.
6
Repair of hypospadias in the preschool child: a report of 150 cases.学龄前儿童尿道下裂修复术:150例报告
J Urol. 1967 Apr;97(4):723-30. doi: 10.1016/S0022-5347(17)63106-9.
7
A modification of Spence's hood for one-stage surgical correction of distal shaft penile hypospadias.用于阴茎远端尿道下裂一期手术矫正的斯彭斯罩改良术。
J Urol. 1973 Jun;109(6):1017-8. doi: 10.1016/s0022-5347(17)60610-4.
8
Further experience with one-stage hypospadias repair.一期尿道下裂修复术的更多经验。
J Urol. 1974 Nov;112(5):677-80. doi: 10.1016/s0022-5347(17)59827-4.
9
Etiologic considerations in penoscrotal hypospadias repair.阴茎阴囊型尿道下裂修复术中的病因学考量
J Urol. 1978 Aug;120(2):229-31. doi: 10.1016/s0022-5347(17)57120-7.
10
Observations upon techniques for reconstruction of the urethral meatus, the hypospadiac glans deformity and the penile urethra.关于尿道口重建、尿道下裂龟头畸形及阴茎尿道重建技术的观察
Urol Clin North Am. 1979 Oct;6(3):643-55.