隧道法加阴囊旋转皮瓣修复尿道下裂

目的 探讨尿道下裂手术方法。方法 1992年-2000年对42例尿道下裂在一期术后的基础上，采用阴茎皮下隧道法，膀胱粘膜及阴囊正中皮瓣尿道成形，阴囊旋转皮瓣覆盖切口的手术，正位修复尿道下裂，结果 42例中1例术后7天发生尿瘘，3个月后再次采用阴囊旋转皮瓣修复后治愈，其余均手术成功，成功率为97.6%，无尿道狭窄等并发症发生。结论 隧道法加阴囊旋转皮瓣修复尿道下裂的手术方法成功率高，并发症少，值得临床推广使用。

SURGICAL REPAIR OF HYPOSPADIAS WITH URETHRAL BURYING AND SCROTAL SKIN FLAP TRANSPLANTATION

Objective To investigate the surgical approach to repair hyposp adias. Methods From 1992 to 2000, 42 cases with hypospadias a ccepted secondary urethroplasty after primary operation, which included urethral burying in penile skin, bladder mucosa and scrotal septal vascular pedicled flap urethroplasty, t rans-scrotal skin flap covering the wounds with normal meatus urinarius. Results Only one, out of 42 cases, had early complication of urinary fistula in 7 d ays after urethroplasty, which was cured by scrotal septal vascular pedicled fla p urethroplasty 3 months later and had no further complication. The others were all succeeded once for all, the successful rate was 97.6%. Conclusion The surg ical method to repair hypospadias by urethral burying and trans-scrotal skin fl ap technique is safe, reliable and recommendable for clinical use.