生殖器皮瓣加盖术在男性尿道狭窄中的应用  

The treatment of urethral stricture covered with genital flap in male

作　　者：张小明[1] 何恢绪[1] 胡卫列[1] 吕军[1] 聂海波[1] 姚华强[1] 邱晓拂[1] 张利朝[1] 刘俊[1] 宋波[2] 

机构地区：[1]广州军区广州总医院泌尿外科研究所解放军下尿路疾病诊治中心,510010 [2]第三军医大学西南医院泌尿外科

出　　处：《中国医师进修杂志（外科版）》2009年第11期11-13,共3页Chinese Journal of Postgraduates of Medicine

摘　　要：目的提高尿道狭窄的治疗水平。方法选择男性尿道狭窄患者101例，年龄3～57岁，中位年龄9岁。其中前尿道狭窄61例，后尿道狭窄40例，狭窄长度0．5～2．0cm。全部采用阴茎或阴囊皮瓣加盖术治疗。结果术后随访12～18个月，95例一次手术成功，排尿通畅。3例再发尿道狭窄，3例并发尿道皮肤瘘，均需再次手术治疗。结论短段尿道狭窄采用生殖器皮瓣加盖术治疗，是一种有效的方法。Objective To improve the success of the urethral stricture repair in males. Methods Chose 101 males of urethral stricture,their median age was 9 years old （range 3 to 57 years old）. Of the patients,61 patients had anterior urethral stricture and the posterior urethral stricture occurred in 40 patients. The length of the stricture varied from 0.5 to 2.0 cm. All patients were repaired with the only genital flap suturing the strictural urethra. Results All repairs were completed in 1 stage, follow-up was from 12 to 18 months, excepted for patients with 3 fistula and 3 urethral stricture, 95 patients were voiding a straight stream, the other 6 patients need another surgery. Conclusion It is a good technique to treat urethral stricture with genital flap if there is short urethral stricture with sufficient genital skin.

关 键 词：外科皮瓣 尿道狭窄 男(雄)性 加盖 

分 类 号：R699.6[医药卫生—泌尿科学] R696[医药卫生—外科学]