横行带蒂包皮瓣尿道成形术治疗尿道下裂

目的探讨横行带蒂包皮瓣尿道成形术（Duckett）治疗尿道下裂的效果。方法采用Duckett术一期成形修复尿道下裂35例，Ⅰ度（阴茎头、冠状沟型）4例，Ⅱ度（阴茎体型）26例，Ⅲ度（阴茎阴囊型）3例，Ⅳ度（会阴型）2例。其中2例Ⅳ度病例行Duckett加Dupaly术。结果一次性治愈27例，术后出现尿瘘6例，尿道狭窄2例，均经再次手术治愈。随访29例，时间1／2—3年排尿正常。结论Duckett术式成形的尿道顺应性好，管腔宽，血供较好。本术式是修复Ⅰ～Ⅳ度尿道下裂的较为理想术式。

Transverse preputial island flap urethroplasty for hypospadias

Objective To study the effect of transverse preputial island flap urethroplasty(Duckett's operation)on hypospadias. Methods Dukett's operation was used to repair hypospadias in 35 patients. Results Thirty-five patients with hypospadias(4 cases of glanz and subcoronal type,26 penile,3 penoscrotal,2 perineal)were treated by Duckett's operation.Of them,the Duckett's and Dupaly's operation were made simutaneously in 2 patients with hypospadias.Uninary fistula occurred in 6 patients(6/35)and urethro stenosis in 2 patients(2/35). Conclusions The preputial flap is an ideal material for urethoplasty with many advantages and Duckett's procedure can attain satisfactory curative effect.