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Part two: Urethroplasty by using skin oversleeve with vesicomucosa to treat hypospadias.
为解决单独使用膀胱粘膜尿道成形术后并发症较多的问题，我们设计了皮肤袖套式膀胱粘膜尿道成形术治疗重型尿道下裂及部分首次手术失败的尿道下裂患儿，即用游离包皮内板或游离阴囊中隔皮片在尿道外口处做成一短段尿道，然后用游离膀胱粘膜形成全段人工尿道并从包皮内板或游离阴囊中隔皮片做成的尿道内穿出。
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Methods: Selected 93 confirmed cases with hypospadias during May 2003 to Sep 2009. Patients in balanic type were treated with meatal advancement and glandularp lasty; patients with urethra orifice at 2/3 of corpus penis accompanied with slight chordee of penis were treated with Snodgrass method or Onlay method; patients with severe chordee of penis were treated with Duckett method; patients in scrotum or perineum type were treated with combination of Duplay and Duckett; severe hypospadia patients were treated with curved pedicle penis-scrotum and skin flap urethroplasty; patients with good outer plate of ventral prepuce and chordee of penis were treated with ventral pedicle hooded foreskin flap.
选取2003年5月～2008年9月期间收治的93例确诊尿道下裂患者，对阴茎头型患者采用尿道口前移、阴茎头成形法；尿道口在阴茎体外2/3段伴有阴茎轻度下弯者采用尿道板纵切卷管法或加盖岛状皮板法（Snodgrass术或On-lay术）；有严重阴茎下弯的所有阴茎体型采用横裁或纵裁包皮岛状皮瓣尿道成形；阴囊型或会阴型用阴囊中缝皮管加横裁包皮岛状皮瓣成形尿道（Duplay联合Duckett术）；对重度尿道下裂患儿采用弧形带蒂阴茎阴囊联合皮瓣尿道成形术；对腹侧包皮外板发育良好患儿及合并阴茎下曲的患儿采用腹侧带蒂帽状包皮皮瓣法。
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Methods: Selected 93 confirmed cases with hypospadias during May 2003 to Sep 2009. Patients in balanic type were treated with meatal advancement and glandularp lasty; patients with urethra orifice at 2/3 of corpus penis accompanied with slight chordee of penis were treated with Snodgrass method or Onlay method; patients with severe chordee of penis were treated with Duckett method; patients in scrotum or perineum type were treated with combination of Duplay and Duckett; severe hypospadia patients were treated with curved pedicle penisscrotum and skin flap urethroplasty; patients with good outer plate of ventral prepuce and chordee of penis were treated with ventral pedicle hooded foreskin flap.
选取2003年5月～2008年9月期间收治的93例确诊尿道下裂患者，对阴茎头型患者采用尿道口前移、阴茎头成形法；尿道口在阴茎体外2/3段伴有阴茎轻度下弯者采用尿道板纵切卷管法或加盖岛状皮板法(Snodgrass术或Onlay术)；有严重阴茎下弯的所有阴茎体型采用横裁或纵裁包皮岛状皮瓣尿道成形；阴囊型或会阴型用阴囊中缝皮管加横裁包皮岛状皮瓣成形尿道(Duplay联合Duckett术)；对重度尿道下裂患儿采用弧形带蒂阴茎阴囊联合皮瓣尿道成形术；对腹侧包皮外板发育良好患儿及合并阴茎下曲的患儿采用腹侧带蒂帽状包皮皮瓣法。
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The operation methods of urethral calculus mainly occurred urethroplasty with septum of scrotum.
结果 术后发生结石的时间以3～5年最，手术方式以阴囊中隔成形术效果较明显。
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labioplasty：唇成形术
labioplacement 唇向错位 | labioplasty 唇成形术 | labioscrotalswelling 阴唇阴囊突
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orchiorrhaphy：睾丸缝合术 睾丸缝术 睾丸未降手术
orchioplasty 睾丸成形术 | orchiorrhaphy 睾丸缝合术 睾丸缝术 睾丸未降手术 | orchioscheocele 睾丸阴囊疝
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scrotocele：阴囊疝
scrotitis 阴囊炎 | scrotocele 阴囊疝 | scrotoplasty 阴囊成形术