Dessanti A, Rigamonti W, Merulla V, Falchetti D, Caccia G
Department of Pediatric Surgery, University of Brescia, Children's Hospital, Umberto I, Italy.
J Urol. 1992 Apr;147(4):1081-3; discussion 1083-4. doi: 10.1016/s0022-5347(17)37478-5.
Autologous buccal mucosa alone or combined with bladder mucosa was used as a free graft for urethral reconstruction in 8 patients with hypospadias. Of these patients 3 with medium penile hypospadias and chordee received a buccal mucosa graft alone and 5 with severe hypospadias received a combined buccal/bladder mucosa graft. Followup at 6 to 18 months showed no complications apart from a fistula in 1 patient with a buccal mucosa graft alone. Our initial results are encouraging. Buccal mucosa seems to be a good material for hypospadias repair.
8例尿道下裂患者采用自体颊黏膜单独或联合膀胱黏膜作为游离移植物进行尿道重建。其中3例阴茎中段尿道下裂合并阴茎下弯患者仅接受颊黏膜移植,5例重度尿道下裂患者接受颊黏膜/膀胱黏膜联合移植。6至18个月的随访显示,除1例仅接受颊黏膜移植的患者出现瘘管外,无其他并发症。我们的初步结果令人鼓舞。颊黏膜似乎是修复尿道下裂的良好材料。