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目的探讨保留尿道板纵切卷管尿道成形术(TIP)在成人尿道下裂治疗中的价值。方法回顾性总结分析我院2004—2006年间采用保留尿道板纵切卷管尿道成形术治疗成人尿道下裂46例(年龄17～28.5岁,平均年龄为21.2岁)。结果术后5例出现尿瘘;2例尿道狭窄;3例术后仍有阴茎向下弯曲。结论对于尿道及阴茎发育条件好的成人尿道下裂,TIP可以一期完成修复。阴茎向下弯曲严重或尿道瘢痕严重者一期尿道成形并发症较多。早期拔除尿道支架管,合理使用敏感抗生素和术后良好的处理是提高手术成功率、减少并发症发生率的重要因素。
Objective To investigate the value of preserving urethroplasty and longitudinal incision urethroplasty (TIP) in the treatment of adult hypospadias. Methods Retrospective analysis of 46 cases of adult hypospadias (age 17-28.5 years, mean age 21.2 years) were treated with preserved urethral plasty and urethroplasty in our hospital from 2004 to 2006. Results Urinary fistula was found in 5 cases, urethral stricture in 2 cases and penile downward flexion in 3 cases. Conclusion For adult hypospadias with well-developed urinary and penile conditions, TIP can be repaired in one phase. Penile downward bending serious or severe urethral urethroplasty more complications. Early removal of the urethral stent tube, the rational use of sensitive antibiotics and good postoperative treatment is to improve the success rate of surgery and reduce the incidence of complications an important factor.