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題名 | 利用陰囊管狀皮瓣的兩階段式尿道下裂矯正手術= |
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作者 | 羅景易; 林文州; 張奐光; |
期刊 | 中華民國外科醫學會雜誌 |
出版日期 | 19880900 |
卷期 | 21:5 1988.09[民77.09] |
頁次 | 頁584-588 |
分類號 | 416.274 |
語文 | chi |
關鍵詞 | 陰囊管狀皮瓣; 兩階段式; 尿道下裂; 矯正手術; |
中文摘要 | 為了減少嚴重型尿道下裂(Severe hypospadias)患者手術後合併症發生的機會,馬偕醫院泌尿科在最近五年中,選擇了十三位此種患者,其中近端陰莖(proximal penile)型四例,陰莖-陰囊(penoscrotal)型九例,施以兩階段式,利用陰囊管狀皮瓣尿道矯正手術,患者平均年齡為兩歲半,其中只有一例術後發生尿道-皮膚癢管,經一次修補後成功,兩例發生輕微皮膚縫合處裂開,無須特別治療而自行癒合,現將其手術方法及結果詳細報告。 |
英文摘要 | One-stage urethoplasty is suituble for distal hypospadias correction. Due to the difficulty of technique and the high rate of complications for severe hypospadias correction, two-stage urethropbsty is still surgery of choice for some case. Fistulae, urethral stenosis, and penile deviation are the most common complications in urethroplasty. We selected 13 cases of proximal penile and penoscrotal hypospadias for two-stage urethroplasty with scrotal tube flap technique. We perform the relief of chordee, transposition of the preputial skin, Y - V glandoplasty and scrotal tube flap in first-stage correction. About 6 months later, we construct an artificial urethrae with penile skin and cover it with the scrotal tube flap. There is no overlapping of the suture lines and with adequate skin for reconstruction. Only one case developed a fistulae after the second correction and later needed repair. Two cases had small wound disruptions which healed spontaneously. |
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