会阴成形术

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。

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。

Results Based on the three (3) types of corrective surgeries, the operations were designed by means of pure perinaeum passage to cervicovaginal plastic operation, vaginoabdominal passage to cervicovaginal plastic operation and, hysterectomy plus vaginoplasty.

结果 针对不同类型设计了经会阴途径和经腹会阴联合途径行宫颈及阴道成形术以及子宫切除+阴道成形术三种手术矫治方案。

Patients with congenital anal atresia and concomitant rectovaginal or rectoperineal fistula were undertaken Z shape plastic operation with fistula reserved. 2 patients with rectovaginal or rectoperineal fistula were removed and closed fistual and repaired os of fistula.

采用Z成形术修复先天性肛门狭窄9例，保留瘘口瘘道＋Z成形术修复先天性肛门闭锁伴直肠阴道瘘或直肠会阴瘘5例，彻底切除瘘管、分层闭合瘘道、修复瘘口治疗单纯性直肠阴道瘘或直肠会阴瘘2例。

This paper reports 20 cases of congenital atresia ani treated by anoplasty through sacroperineal approach.All the patients were followed-up for 6 to 36 months. The function of fecal continence became normal.

本文报告经骶会阴肛门成形术治疗先天性无肛20例，随访6个月至3年，排便正常。20例中发生8例次(6例)手术并发症，包括尿道断裂、阴道撕裂、吻合口瘘等，均于短期内治愈。

The case of urethrostenosis recovered by dilation of urethra after 5 months and the patient of urethral fistula was successfully repaired by operation after...

术后随访6~26个月，患儿阴茎外观及排尿良好。结论会阴、包皮联合岛状皮瓣一期尿道成形术是治疗后段尿道下裂的有效方法之一。

But we don't care about Battlegrounds.

但我们并不在乎沙场中的显露。

Ah! don't mention it, the butcher's shop is a horror.

啊！不用提了。提到肉，真是糟透了。