白膜加盖成形术治疗悬垂部尿道狭窄临床研究  

Clinical Study of Tunica Albuginea Urethroplasty for the Treatment of Suspension Urethral Stricture

作　　者：刘峰[1] 李家栋[1] 徐敏[1] 沈建国[1] 金建忠[1] 王悦[1] 

机构地区：[1]上海交通大学附属第六人民医院奉贤分院泌尿外科,上海201400

出　　处：《临床泌尿外科杂志》2010年第12期934-935,共2页Journal of Clinical Urology

摘　　要：目的:探讨白膜加盖成形术治疗悬垂部尿道狭窄的临床疗效。方法:采用尿道背侧切开阴茎海绵体白膜加盖成形方法治疗悬垂部尿道狭窄患者12例,术前最大尿流率(5.9±2.7)ml/s,术后随访分别行逆行尿道造影及尿流率检查。结果:12例术后随访平均24(3～38)个月,术后2年排尿通畅10例;再次狭窄2例,1例经尿道扩张后维持正常排尿,1例再次手术,总成功率为92%。结论:白膜加盖成形术是治疗悬垂部尿道狭窄的有效方法。Objective：To evaluate the efficacy of tunica albuginea urethroplasty for the treatment of suspension urethral stricture. Methods： Between May 2005 and January 2008, 12 patients underwent one-stage tunica albuginea urethroplasty. Preoperatively, 12 cases had Qmax of （5. 9±2. 7）ml/s. Postoperative follow-up included retrograde urethrography and the flow rate checks. Results .. The patients were followed up for 24（3-38） months postoperatively. Micturition of 10 patients became smooth after two years. 2 cases developed urethral stricture again. 1 were treated with urethral dilation and 1 were treated with a reoperation, yielding a overall success rate of 92%. Conelusions：Tunica albuginea urethroplasty is an effective method for the treatment of suspension urethral stricture.

关 键 词：白膜 尿道成形术 尿道狭窄 

分 类 号：R695[医药卫生—泌尿科学]