CAJ | 학술논문

目的探讨不同术式治疗尿道皮肤瘘的效果及预防复发的措施. 方法总结2003年1月至2011年7月54例尿道成形术后尿瘘患者资料,根据瘘口大小、位置、数目以及是否伴有尿道狭窄等因素,分别采用单纯缝合(20例)、推移皮瓣修复(17例)、阴茎带蒂皮瓣修复(11例)、口腔黏膜代尿道成形术(6例)等术式修补,观察分析治疗效果. 结果 54例患者中,一次手术治愈46例(85％),4例经二次手术治愈.单纯缝合、推移皮瓣修复、阴茎带蒂皮瓣修复、口腔黏膜代尿道成形手术成功率分别为95％、76％、82％、83％.术后随访6个月,5例再次发生尿瘘,其中4例再手术成功. 结论根据尿瘘修复原则,采取个性化手术方式修复各种类型的尿瘘,可提高尿瘘修复手术成功率.
목적 탐토불동술식치료뇨도피부루적효과급예방복발적조시. 방법 총결2003년1월지2011년7월54례뇨도성형술후뇨루환자자료,근거루구대소、위치、수목이급시부반유뇨도협착등인소,분별채용단순봉합(20례)、추이피판수복(17례)、음경대체피판수복(11례)、구강점막대뇨도성형술(6례)등술식수보,관찰분석치료효과. 결과 54례환자중,일차수술치유46례(85％),4례경이차수술치유.단순봉합、추이피판수복、음경대체피판수복、구강점막대뇨도성형수술성공솔분별위95％、76％、82％、83％.술후수방6개월,5례재차발생뇨루,기중4례재수술성공. 결론 근거뇨루수복원칙,채취개성화수술방식수복각충류형적뇨루,가제고뇨루수복수술성공솔.
Objective To discuss the curative effect of different operative methods for the treatment of urethrocutaneous fistula (UCF) after urethroplasty.Methods Clinical data of 54 cases of UCF from January 2003 to July 2011 were collected.Simple suture,advancement skin flap,pedicle penile skin flap urethroplasty,tongue/buccal mucosa urethroplasty were performed according to the size,location,number and whether there was urethral stricture of UCF.The treatment effect was recored and analyzed.Results The success rate of UCF repair was 85％ (46/54).There were 4 patients cured after second surgery.The success rates of repair of UCF with simple suture,advancement skin flap,pedicle penile skin flap urethroplasty,tongue/buccal mucosa urethroplasty were 95％,76％,82％,and 83％,respectively.Postoperative recurrence was observed in 5 patients in 6 months after the surgery and 4 of them received the re-operation.Conclusion According to the principle and the individual circumstance,taking personalized operative methods may improve the success rate of the repair of all kinds of UCF.