舌黏膜补片治疗复杂性尿道狭窄的疗效观察  

Lingual Mucosal Graft for Treatment of Complex Urethral Strictures

作　　者：徐庆康[1] 徐哲丰[1] 沈伟华[1] 于永涛[1] 洪翔[1] 

机构地区：[1]武警浙江总队医院泌尿外科,浙江嘉兴314000

出　　处：《临床泌尿外科杂志》2009年第7期496-498,共3页Journal of Clinical Urology

摘　　要：目的:探讨使用舌黏膜补片尿道成形治疗复杂性尿道狭窄的有效性。方法:2006年12月～2009年1月应用舌黏膜补片法治疗复杂性前尿道狭窄患者36例。结果:术后随访3～25个月,平均13.6个月。2例术后出现尿瘘,经再次手术修补后好转;另2例术后出现尿道狭窄,经尿道扩张后治愈。余者术后排尿通畅,平均最大尿流率达23.8 ml/s。结论:舌黏膜具有取材方便、取材部位并发症少等优点,是一种治疗前尿道狭窄较好的替代物。Objective：To explore the efficacy of urethrolplasty for anterior urethral stricture using lingual mucosal graft. Methods：Between December 2006 and January 2009, 36 patients with complex anterior urethral strictures were treated with lingual mucosal graft. Results： Follow up was performed for 3 25 months （mean 13.6 months） postoperatively. Complications occurred in 4 patients, including urinary fistulas in 2 patients, which improved by the second urethrolplasty; recurrent stricture in 2 patients, which was cured after urethral dilation. The remaining patients voided well postoperatively, with mean peak flows 23.8 ml/s. Conclusions： The lingual mucosal graft has the advantages of accessibility, lower complication rate and better compatibility for treatment of anterior urethral strictures.

关 键 词：尿道狭窄 舌黏膜补片 尿道成形术 

分 类 号：R695[医药卫生—泌尿科学]