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在第二阶段的低血压修复中,去皮质化的重叠可以确保尿路造形术:重新审视史密斯技术
Amr Abdelhamid AbouZeid1, Reda Abualyazeed Habak2, Mostafa Mahmoud Hamad2
1Department of Pediatric Surgery, Faculty of medicine-Ain Shams University, Cairo, Egypt. amrabdelhamid@hotmail.com.
BMC urology
|August 30, 2023
概括
这项研究重新审视了史密斯的技术,用于修复hypospadias,使用一个de-epithelialized重叠用于新尿道覆盖阶段程序. 该技术在复杂的hypospadias病例中显示出作为替代第二层的承诺.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 儿科手术 儿科手术
- 重建性手术是一种重建性手术.
背景情况:
- 由于添加了第二层组织层,hypospadias修复结果得到了改善.
- 史密斯技术,利用一个de-epithelialized重叠,是重新审视为分阶段的hypospadias修复.
研究的目的:
- 为了评估非表皮化重叠 (双乳) 作为分阶段近接皮病修复中的第二层的疗效.
- 评估与这种修改技术相关的结果和并发症.
主要方法:
- 在2016年至2021年期间,对17名近端下和显著带的男孩进行了两阶段的修复.
- 第一个阶段涉及纠正带,然后六个月后进行了蒂尔希-杜普莱尿路整形.
- 一个脱皮质的重叠覆盖了新尿道,在必要时使用dartos阴囊.
主要成果:
- 十七名患有近端下的男孩接受了两阶段的修复.
- 在7例 (41%) 发生并发症,主要是远端/腺状干扰 (5例).
- 报告说,有一个阴囊和一个尿道狭窄.
结论:
- 脱皮质双乳房技术提供了一个可行的替代方案,用于第二层新泌尿道覆盖在分阶段的近端下的修复.
- 这种方法支持沿阴茎轴进行尿路整形,可能改善重建结果.
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