阴茎皮管尿道成型术(Duplay's术)治疗小儿尿道下裂

摘要

Objective : To intraduce Duplay's operation fortreating hypospadias in two stages. Methods: 14 children with hypospadiaswere treated consecutively with Duplay's operation. 9 of those were perile hypospadias and 5 cases were perineal hypospadias. Results: Theoperation was used successful is 11 children, and twocases have post-operative urethral fistula. One have a distal penis skin tube infection.Conclusion: We think for patients with hypospadias who been corrected with penis inferior bend, in addtion of Denis-Brown's operation. Duplav'soperation is an effect procedure and have a useful. clinic practice.%目的：介绍阴茎皮管尿道成型(Duplay术)二期手术治疗小儿尿道下裂的手术方法。方法：采用阴茎皮管尿道成型术(Duplay术)治疗阴茎下弯矫正术后小儿尿道下裂14例，其中阴茎体型9例，会阴型5例，年龄3．5～8岁。结果：一次手术成功ll例，2例术后尿瘘，l例远端皮管感染。结论：我们认为对已矫正下弯的尿增下裂病人，除皮条埋藏(Denis—Browne)等其他方法外，阴茎皮管尿道成型不失为一种有效的手术方法，具有一定的临床实用性。