阴囊纵隔皮瓣尿道成形术治疗长段前尿道狭窄

目的 总结阴囊纵隔皮瓣尿道成形术治疗长段前尿道狭窄的手术经验.方法 本组41例患者,年龄17～76岁,平均42.7岁,病程4～38个月,平均15个月.术前经逆行尿道造影、排泄性膀胱尿道造影均证实前尿道狭窄.狭窄段长度3cm～7cm,平均4.1 cm.术前27例尿流率测定均为低平曲线,最大尿流率3.5～6.9 ml/s,平均5.7 ml/s.运用阴囊纵隔皮瓣尿道成形术治疗长段前尿道狭窄.结果 41例患者随访12～36个月,平均23.1个月.术后排尿通畅39例,测定最大尿流率16～36ml/s,平均17.2 ml/s.出现并发症4例,其中尿道狭窄2例,尿道毛石形成2例,本组无尿瘘发生.结论 运用阴囊纵隔皮瓣尿道成形术治疗长段前尿道狭窄,手术成功率高,并发症少,是治疗长段前尿道狭窄的良好术式.

Scrotal septal skin flap urethroplasty for long segment anterior urethral stricture

Objectives To summarize the experience of scrotal septal skin flap urethroplasty in the treatment of long segment anterior urethral stricture. Methods 41 patients(mean age:42.7, range: 17 ～76)underwent scrotal septal skin flap urethroplasty for the treatment of long segment anterior urethral stricture. All cases were diagnosed by urethrography. The average length of anterior urethral stricture were 4. 1 cm (range:3 ～7), maximum flow rate of urine (Qmax) were 5.7 ml/s (range: 3.5 ～6.9)respectively. Results With a mean follow-up of 23.1 months(range:12 ～36) , urethral calculi were found in 2 and urethral stricture recurred in 2. Conclusions Scrotal septal skin flap urethroplasty is a effective treatment for long segment anterior urethral stricture.