改良巴卡特阴茎头沟技术治疗尿道下裂：295例经验
Modified Barcat balanic groove technique for hypospadias repair: experience with 295 cases.
作者信息
Barthold J S, Teer T L, Redman J F
机构信息
Department of Urology, University of Arkansas College of Medicine, Little Rock, USA.
出版信息
J Urol. 1996 May;155(5):1735-7.
PURPOSE
We reviewed the results of a large series of hypospadias repairs (311) using the modified Barcat balanic groove technique.
MATERIALS AND METHODS
All patients who underwent modified Barcat repair with closure of the divergent corpus spongiosum were included in our study and were seen or contacted for postoperative followup.
RESULTS
Of 295 patients available for followup 94% had excellent cosmetic results. The fistula rate after primary repair was 5% for a glanular or coronal meatus and 18% for a penile meatus, and meatal stenosis was rare. After secondary repair complications were common in patients with a penile meatus.
CONCLUSIONS
The Barcat technique allows anatomically superior glans reconstruction in distal hypospadias repair. Fistula rates can be reduced by tissue coverage of the neourethra.
目的
我们回顾了一系列使用改良巴尔卡特龟头沟技术进行的311例尿道下裂修复手术的结果。
材料与方法
所有接受改良巴尔卡特修复术并闭合分离的海绵体的患者均纳入本研究，并进行术后随访或联系。
结果
在可供随访的295例患者中，94%的患者术后外观效果极佳。龟头或冠状沟尿道口一期修复后的瘘管发生率为5%，阴茎尿道口为18%，尿道口狭窄罕见。二期修复后，阴茎尿道口患者并发症常见。
结论
巴尔卡特技术在远端尿道下裂修复中可实现解剖学上更优的龟头重建。通过对新尿道进行组织覆盖可降低瘘管发生率。
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