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目的:提高对阴茎头硬化性苔藓样变(LS)及由此引起的前尿道狭窄的认识,并探讨合理的手术治疗方法。方法:15例LS并发前尿道狭窄的患者,年龄27～75岁,尿道狭窄段长4～1 6 cm。采用舌黏膜尿道成形11例、结肠黏膜尿道成形2例;尿道外口切开及前尿道劈开术各1例。所有患者手术同时行LS病变组织病理学检查。结果:术后随访6～1 2个月(平均10.07个月)。1例游离结肠黏膜尿道成形患者术后2月发生尿道外口狭窄,行尿道外口切开后排尿道通畅;余者术后排尿通畅,Q_(max):17.2～32 ml/s(平均18.70 ml/s)。结论:采用游离黏膜尿道成形治疗LS性尿道狭窄可取得较好效果,但需密切随访病变迁延致尿道再狭窄。
Objective: To improve awareness of glaucomatous lichenification (LS) and the resulting anterior urethral stricture, and to explore a reasonable surgical treatment. Methods: Fifteen patients with LS complicated with anterior urethral stricture, aged 27-75 years old, had a urethral stricture of 4 ~ 16 cm. Eleven cases of lingual mucosa urethra and two cases of colonic mucosa and urethra were formed. One case had urethral incision and anterior urethral cleavage. All patients underwent LS pathological examinations simultaneously. Results: The patients were followed up for 6 to 12 months (average 10.07 months). The urethral patency occurred in one case of free colonic mucosa urethroplasty in February after operation. The urethral patency was achieved after the external urethral incision. The remaining patients had urinary patency (Q_ (max): 17.2 ~ 32 ml / s ml / s). Conclusion: The treatment of LS urethral stricture with free mucosal urethroplasty can achieve good results, but urethral restenosis should be closely followed up.