镶嵌式唇黏膜和膀胱黏膜修复复杂性尿道皮肤瘘的临床疗效分析

发布时间：2018-03-20 13:30

本文选题：唇黏膜　切入点：膀胱黏膜　出处：《中华男科学杂志》2016年07期 　论文类型：期刊论文

【摘要】：目的:比较镶嵌式唇黏膜和膀胱黏膜在治疗尿道下裂手术后复杂性尿道皮肤瘘手术成功率和并发症发生率。方法:对符合手术指征的55例尿道下裂术后复杂性尿道皮肤瘘患者,随机分成唇黏膜取材组(36例)和膀胱黏膜取材组(19例),于术中分别应用自体游离唇黏膜和膀胱黏膜行尿道成形术,并评估手术并发症和术后尿道皮肤瘘的再发率。结果:镶嵌式唇黏膜和膀胱黏膜在治疗复杂性尿道皮肤瘘术后,均有2例出现尿道皮肤瘘,1例出现尿道狭窄,手术成功率分别为91.7%、84.2%,无统计学差异(P0.05);术后阴茎外形美观。两组术后并发症发生率也无统计学差异(11.1%vs 26.3%,P0.05)。结论:镶嵌式唇黏膜和膀胱黏膜修复复杂性尿道皮肤瘘均取得了理想的效果,但唇黏膜修复供材区创伤更小,手术简单快捷,值得在临床上推广应用。
[Abstract]:Objective: to compare the surgical success rate and the incidence of complications in the treatment of complicated urethral fistula after hypospadias surgery with inlaid lip mucosa and bladder mucosa. Methods: 55 cases of complicated urethral skin fistula after hypospadias surgery were treated according to the surgical indications. The patients were randomly divided into two groups: the lip mucosa group (n = 36) and the bladder mucosa group (n = 19). Urethroplasty was performed with free lip mucosa and bladder mucosa respectively during the operation. Results: there were 2 cases of urethral skin fistula and 1 case of urethral stricture after the treatment of complicated urethral skin fistula. The successful rate of operation was 91.7% and 84.2%, respectively. There was no statistical difference between the two groups (P 0.05). There was no significant difference in postoperative appearance of penis between the two groups. There was no significant difference in the incidence of postoperative complications between the two groups. Conclusion: the repair of complex urethral skin fistula with inlaid lip mucosa and bladder mucosa is not significant. With the ideal effect, But the injury of labial mucosa repair donor area is less, the operation is simple and quick, and it is worth popularizing in clinic.
【作者单位】：广州军区广州总医院泌尿外科/全军泌尿外科中心;广东医科大学研究生院;暨南大学医学院;
【分类号】：R699.6

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