[摘要] 目的 评价斜裁包皮带蒂皮瓣加会阴联合皮管治疗会阴型尿道下裂伴阴茎阴囊转位尿道成形术的疗效。方法 回顾分析我院2015年1月～2018年5月收治会阴型尿道下裂伴阴茎阴囊转位患者37例，应用斜裁包皮带蒂皮瓣加会阴联合联合皮管治疗，其中15例加做膀胱造瘘术，分析术后疗效和并发症。 结果 手术成功率78.38%，平均手术时间(125.23±11.45)min，平均随访时间(6.21±1.84)个月，术后尿瘘率13.51%，吻合口狭窄率5.41%，尿道口狭窄率2.70%，并发症总体发生率21.62%;其余无憩室，无阴茎下弯，阴茎外观满意，均自正位尿道口排尿。 结论 斜裁包皮带蒂皮瓣加会阴联合皮管治疗会阴型尿道下裂伴阴茎阴囊转位基本都可以一次性完成手术。该方法具有取材方便、皮瓣血运可靠、并发症少、成形阴茎外观满意等优点，是较理想的手术方式。

    [关键词] 会阴型尿道下裂;阴茎阴囊转位;带蒂皮瓣;尿道成形术

    [中图分类号] R726.9 [文献标识码] B [文章编号] 1673-9701(2019)09-0046-03

    [Abstract] Objective To evaluate the efficacy of oblique preputial pedicled skin flap plus perineum combined with percutaneous tube in the urethroplasty of perineal hypospadia with penile scrotum transposition. Methods 37 cases of perineal hypospadia with penile scrotum transposition in our hospital from January 2015 to May 2018 were retrospectively analyzed. The patients were treated with oblique preputial pedicled skin flap plus perineum combined with percutaneous tube. Among them ......