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阴茎阴囊型尿道下裂修复术中的病因学考量

Etiologic considerations in penoscrotal hypospadias repair.

作者信息

Marshall M, Beh W P, Johnson S H, Price S E, Barnhouse D H

出版信息

J Urol. 1978 Aug;120(2):229-31. doi: 10.1016/s0022-5347(17)57120-7.

DOI:10.1016/s0022-5347(17)57120-7
PMID:671643
Abstract

Superficial location of fivrous bands causing chordee in patients with penoscrotal hypospadias has been demonstrated by microscopic and gross photographs. Our technique to manage this problem is similar to that described by Allen and Spence and by King for distal hypospadias and has been used in 120 patients. The technique involves the repair of the embryologic penile defect by advancing the closure of the urethral groove and transposing the scrotum to its appropriate caudal position. The repair is applicable in patients with failure of fusion rather than failure of the development of the urethral groove as in perineal hypospadias.

摘要

显微镜照片和大体照片已证实,阴茎阴囊型尿道下裂患者中导致阴茎弯曲的纤维束位于浅表位置。我们处理这一问题的技术与Allen、Spence以及King所描述的用于远端尿道下裂的技术相似,已应用于120例患者。该技术通过推进尿道沟的闭合以及将阴囊转移至其适当的尾侧位置来修复胚胎期阴茎缺陷。这种修复方法适用于融合失败的患者,而非会阴型尿道下裂中尿道沟发育失败的患者。

相似文献

1
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.
2
Surgical approach to penile and penoscrotal hypospadias.阴茎及阴茎阴囊型尿道下裂的手术治疗方法
Eur Urol. 1980;6(2):126-8. doi: 10.1159/000473306.
3
Penoscrotal transposition with hypospadias: 1-stage repair.阴茎阴囊转位合并尿道下裂:一期修复。
J Urol. 1992 Nov;148(5):1510-3. doi: 10.1016/s0022-5347(17)36952-5.
4
[Buccal mucosa free graft for severe hypospadias repair].[颊黏膜游离移植修复重度尿道下裂]
Cir Pediatr. 1994 Jan;7(1):48-9.
5
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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Urethral advancement in management of penoscrotal transposition.阴茎阴囊转位治疗中的尿道前移术
Urology. 1985 Apr;25(4):371-3. doi: 10.1016/0090-4295(85)90491-1.
7
Multiple hypoplastic duplicated urethral hydrodistension and simple end-to-end anastomosis to penoscrotal hypospadias: a novel technique.多发育不全性重复尿道水扩张及阴茎阴囊型尿道下裂简单端端吻合术:一种新技术
Int Urol Nephrol. 2014 Sep;46(9):1729-31. doi: 10.1007/s11255-014-0740-z. Epub 2014 May 24.
8
[Contribution on the surgical correction of penile and penoscrotal hypospadias (author's transl)].[阴茎及阴茎阴囊型尿道下裂手术矫正的研究(作者译)]
Urologe A. 1976 Sep;15(5):223-6.
9
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.
10
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.

引用本文的文献

1
What is the pathogenesis of proximal hypospadias?近端尿道下裂的发病机制是什么?
Turk J Urol. 2018 Jul;44(4):357-361. doi: 10.5152/tud.2018.85530.
2
Is tubularization of the mobilized urethral plate a better alternative to tubularization of an incised urethral plate for hypospadias repair?对于尿道下裂修复,游离尿道板管状化是否比切开尿道板管状化是更好的选择?
Pediatr Surg Int. 2009 Feb;25(2):185-90. doi: 10.1007/s00383-008-2312-8. Epub 2008 Dec 19.
3
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.
4
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.