Stürzebecher B, Schulte-Baukloh H, Brenneke V, Stolze T, Weiss C, Knispel H H
Department of Urology, St. Hedwig Hospital, Teaching Hospital of University Hospital Charité, Gr. Hamburger Str. 5-11, D-10115, Berlin, Germany.
Int Urol Nephrol. 2005;37(3):521-3. doi: 10.1007/s11255-004-0019-x.
Up to now, the management of traumatic posterior urethral disruption ranges from primary realignment to delayed urethroplasty. However, we reconstructed the membranous part of the urethra with an onlay graft of buccal mucosa after traumatic complete disruption as a first line therapy. After 7 months followup, the clinical outcome is very good. Because primary reconstruction of the urethra with a buccal mucosa graft after traumatic disruption has not yet been reported, the question arises whether this technique should be routinely included as an option for primary urethral reconstruction after trauma of the posterior urethra.
到目前为止，创伤性后尿道断裂的治疗方法从一期尿道会师到延迟尿道成形术不等。然而，我们在创伤性完全断裂后，采用颊黏膜镶嵌移植修复尿道膜部作为一线治疗方法。经过7个月的随访，临床效果非常好。由于创伤性断裂后采用颊黏膜移植进行尿道一期重建尚未见报道，因此出现了一个问题，即这种技术是否应常规作为后尿道创伤后尿道一期重建的一种选择。
