中国男科学杂志
中國男科學雜誌
중국남과학잡지
CHINESE JOURNAL OF ANDROLOGY
2014年
6期
25-29
,共5页
张长胜%孙天明%苟成毅%曲小勇%党乾元%高永峰%张志鹏%张军宏
張長勝%孫天明%茍成毅%麯小勇%黨乾元%高永峰%張誌鵬%張軍宏
장장성%손천명%구성의%곡소용%당건원%고영봉%장지붕%장군굉
硬化性苔癣样病%阴茎头炎%口腔黏膜%尿道狭窄%尿道成形
硬化性苔癬樣病%陰莖頭炎%口腔黏膜%尿道狹窄%尿道成形
경화성태선양병%음경두염%구강점막%뇨도협착%뇨도성형
lichen sclerosus et atrophicus%balanitis%mouth mucosa%urethral stricture
目的：探讨口腔黏膜尿道成形治疗硬化性苔藓样病（lichen sclerosus ，LS）所致尿道外口及前尿道狭窄的方法及疗效，提高对LS所致尿道狭窄的认识。方法2008年3月至2013年6月，收治LS所致前尿道狭窄患者12例，手术年龄为26~68岁，平均为42岁。狭窄段长度为1.5~8cm，平均为4.32cm。最大尿流率2.9~6.8mL/s，平均为4.24mL/s。将狭窄段尿道沿尿道外口纵形切开，采用口腔黏膜（颊黏膜或舌黏膜）分期或一期尿道成形治疗尿道外口及前尿道狭窄。结果12例患者手术后排尿通畅，随访6~55月，平均25月，至今有2例出现尿道外口再次狭窄，行尿道外口切开后排尿通畅，最大尿流率14.9~36.8mL/s，平均为21.13mL/s。讨论口腔颊黏膜和舌黏膜是尿道重建中良好的替代物，口腔黏膜分期或一期尿道成形是治疗LS所致尿道狭窄的有效方法。
目的：探討口腔黏膜尿道成形治療硬化性苔蘚樣病（lichen sclerosus ，LS）所緻尿道外口及前尿道狹窄的方法及療效，提高對LS所緻尿道狹窄的認識。方法2008年3月至2013年6月，收治LS所緻前尿道狹窄患者12例，手術年齡為26~68歲，平均為42歲。狹窄段長度為1.5~8cm，平均為4.32cm。最大尿流率2.9~6.8mL/s，平均為4.24mL/s。將狹窄段尿道沿尿道外口縱形切開，採用口腔黏膜（頰黏膜或舌黏膜）分期或一期尿道成形治療尿道外口及前尿道狹窄。結果12例患者手術後排尿通暢，隨訪6~55月，平均25月，至今有2例齣現尿道外口再次狹窄，行尿道外口切開後排尿通暢，最大尿流率14.9~36.8mL/s，平均為21.13mL/s。討論口腔頰黏膜和舌黏膜是尿道重建中良好的替代物，口腔黏膜分期或一期尿道成形是治療LS所緻尿道狹窄的有效方法。
목적：탐토구강점막뇨도성형치료경화성태선양병（lichen sclerosus ，LS）소치뇨도외구급전뇨도협착적방법급료효，제고대LS소치뇨도협착적인식。방법2008년3월지2013년6월，수치LS소치전뇨도협착환자12례，수술년령위26~68세，평균위42세。협착단장도위1.5~8cm，평균위4.32cm。최대뇨류솔2.9~6.8mL/s，평균위4.24mL/s。장협착단뇨도연뇨도외구종형절개，채용구강점막（협점막혹설점막）분기혹일기뇨도성형치료뇨도외구급전뇨도협착。결과12례환자수술후배뇨통창，수방6~55월，평균25월，지금유2례출현뇨도외구재차협착，행뇨도외구절개후배뇨통창，최대뇨류솔14.9~36.8mL/s，평균위21.13mL/s。토론구강협점막화설점막시뇨도중건중량호적체대물，구강점막분기혹일기뇨도성형시치료LS소치뇨도협착적유효방법。
Objective To explore the diagnosis and treatment of sclerosing moss samples (lichen sclerosus, LS) caused- urethral mouth and anterior urethral strictureand improve the understanding of urethral stricture. Methods From March 2008 to June 2013, total of 12 patients with LS caused-urethral stricture whose surgery age was 26~68, an average of 42, were enrolled in the study. Length of urethral stricture was 1.5~8 cm, with an average of 4.32 cm. Maximum urinary flow rate was 2.9~6.8 mL/s, with an average of 4.24 mL/s. Buccal mucosa (buccal mucosa or tongue mucosa) forming stage was used to treat urethral mouth and anterior urethral stricture along the urethral mouth stricture urethra longitudinal incision. Results Postoperative voiding of all patients was opened. All 12 patients were followed up for 6~55 months with an average of 25 months. Up to now, 2 cases appeared urethral mouth stricture again and their voiding opened after, urethral mouth open after voiding. Maximum urinary flow rate was 14.9~36.8 mL/s, with an average of 21.13 mL/s. Conclusion Buccal mucosa and oral tongue mucosa is good substitute of urethral reconstruction, oral cavity mucous membrane forming stage or the urethra is effective method for the treatment of urethral stricture caused by LS.
