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目的:探讨舌黏膜补片法尿道成形治疗尿道狭窄的疗效。方法:采用舌黏膜尿道成形治疗尿道狭窄14例。尿道狭窄段3.5~14cm,平均6.2cm;术前耻骨上膀胱造瘘8例,余6例排尿均较为困难,最大尿流率2.5~5.5ml/s,平均3.8ml/s。结果:术后随访2~8个月,1例因伤口感染致尿道皮肤瘘,余患者均排尿通畅,最大尿流率增至22~51ml/s,平均29.6ml/s。结论:舌黏膜具有取材方便、对患者创伤小、抗感染力强等特点,是一种较好的尿道替代物,尤其适合尿道狭窄段<6cm的患者。
Objective: To investigate the curative effect of lingual mucosa patch urethroplasty on urethral stricture. Methods: Trench urethroplasty was used to treat urethral stricture in 14 cases. Urethral stricture 3.5 ~ 14cm, an average of 6.2cm; preoperative suprapubic cystostomy in 8 cases, more than 6 cases of urination more difficult, the maximum flow rate of 2.5 ~ 5.5ml / s, an average of 3.8ml / s. Results: All the patients were followed up for 2 to 8 months. One case of urethral skin fistula was infected by wounds. The other patients had voiding and urination. The maximum uroflow rate increased to 22 ~ 51ml / s with an average of 29.6ml / s. CONCLUSION: Tongue mucosa is a good substitute for urinary tracts, especially for patients with urethral stricture of <6cm, which has the advantages of convenient material drawing, small trauma to patients and strong anti-infective ability.