中国医师进修杂志
中國醫師進脩雜誌
중국의사진수잡지
CHINESE JOURNAL OF POSTGRADUATES OF MEDICINE
2014年
8期
46-48
,共3页
高强%齐进春%郭岩松%薛文勇%罗丰伟
高彊%齊進春%郭巖鬆%薛文勇%囉豐偉
고강%제진춘%곽암송%설문용%라봉위
尿道狭窄%脱细胞异体真皮基质补片%硬化性苔藓样病%尿道成形
尿道狹窄%脫細胞異體真皮基質補片%硬化性苔蘚樣病%尿道成形
뇨도협착%탈세포이체진피기질보편%경화성태선양병%뇨도성형
Urethral stricture%Acellular dermal matrix patch%Lichen sclerosus%Urethroplasty
目的 总结脱细胞异体真皮基质补片治疗硬化性苔藓样病所致前尿道狭窄的临床疗效.方法 回顾性分析15例应用脱细胞异体真皮基质补片治疗硬化性苔藓样病所致前尿道狭窄患者的临床资料.结果 随访8～40个月,15例患者术后4周拔除尿道支架管,术后2个月排尿通畅,最大尿流率17.6～41.7 ml/s,平均28.6 ml/s;术后3个月出现尿道狭窄2例,间断予以尿道扩张3～6个月后排尿通畅.结论 脱细胞异体真皮基质补片治疗硬化性苔藓样病所致前尿道狭窄安全、有效,手术操作简单.
目的 總結脫細胞異體真皮基質補片治療硬化性苔蘚樣病所緻前尿道狹窄的臨床療效.方法 迴顧性分析15例應用脫細胞異體真皮基質補片治療硬化性苔蘚樣病所緻前尿道狹窄患者的臨床資料.結果 隨訪8～40箇月,15例患者術後4週拔除尿道支架管,術後2箇月排尿通暢,最大尿流率17.6～41.7 ml/s,平均28.6 ml/s;術後3箇月齣現尿道狹窄2例,間斷予以尿道擴張3～6箇月後排尿通暢.結論 脫細胞異體真皮基質補片治療硬化性苔蘚樣病所緻前尿道狹窄安全、有效,手術操作簡單.
목적 총결탈세포이체진피기질보편치료경화성태선양병소치전뇨도협착적림상료효.방법 회고성분석15례응용탈세포이체진피기질보편치료경화성태선양병소치전뇨도협착환자적림상자료.결과 수방8～40개월,15례환자술후4주발제뇨도지가관,술후2개월배뇨통창,최대뇨류솔17.6～41.7 ml/s,평균28.6 ml/s;술후3개월출현뇨도협착2례,간단여이뇨도확장3～6개월후배뇨통창.결론 탈세포이체진피기질보편치료경화성태선양병소치전뇨도협착안전、유효,수술조작간단.
Objective To summarize the clinical effect of urethroplasty using acellular dermal matrix patch for the treatment of anterior urethral stricture caused by lichen sclerosus.Methods The clinical data was analyzed retrospectively from 15 patients with anterior urethral stricture caused by lichen sclerosus treated with aeellular dermal matrix patch.Results The patients were followed up for 8-40 months.The urethral silicone stent was removed 4 weeks after operation in 15 cases and all the patients voided well 2 months after operation.The urinary peak flow rates ranged from 17.6 to 41.7 ml/s(mean,28.6ml/s).Urethral stricture occurred in 2 patients 3 months after operation undergoing discontinuous dilatation within 3 to 6 months,the patients voided very well.Conclusion It is feasible,safe and relatively simple to use acellular dermal matrix patch for anterior urethral stricture caused by lichen sclerosus.
