Urology Department, Sohag Faculty of Medicine, Sohag, Egypt.
Urology. 2010 Oct;76(4):971-5; discussion 975. doi: 10.1016/j.urology.2010.03.095.
To evaluate the use of buccal mucosa tubal graft for reconstruction of extensive ureteral stricture.
Between April 2006 and July 2008, 5 patients (mean age, 51.2 years) underwent reconstructive ureteral surgery for ureteral obstruction using buccal mucosa graft. The indication of surgery was extensive ureteral stricture of a 4.4-cm average length (range, 3.5-5.0). The site of stricture was in the proximal and the middle ureter in 3 and 2 patients, respectively. The causes of stricture were postinflammatory (3 cases) and iatrogenic after ureteroscopic procedures for impacted stones (2 cases).
All 5 patients underwent successful ureteral defect replacement using buccal mucosal tube. The intraoperative course was uneventful without any major complications. Mean operative time was 106 minutes (range, 85-130). With a mean follow-up of 24 months (range, 14-39), the operated kidneys showed no obstruction.
Oral buccal mucosal tubal graft for reconstruction of extensive ureteral stricture is a good available option. Although the results of this initial experience are encouraging, a bigger series and longer follow-up is recommended to evaluate our procedure.
评估颊黏膜管用于重建广泛输尿管狭窄的效果。
2006 年 4 月至 2008 年 7 月，5 名患者（平均年龄 51.2 岁）因输尿管梗阻接受颊黏膜移植物重建输尿管手术。手术适应证为平均长度为 4.4cm（范围 3.5-5.0cm）的广泛输尿管狭窄。3 例患者的狭窄部位位于输尿管近端和中段，2 例患者的狭窄部位位于输尿管中下段。狭窄的原因分别为炎症后（3 例）和输尿管镜取石术后医源性损伤（2 例）。
5 例患者均成功采用颊黏膜管完成输尿管缺损替代。术中过程顺利，无重大并发症。手术时间平均为 106 分钟（范围 85-130 分钟）。平均随访 24 个月（范围 14-39 个月），手术肾脏无梗阻。
颊黏膜管用于重建广泛输尿管狭窄是一种可行的选择。尽管初步经验的结果令人鼓舞，但需要更大的系列和更长时间的随访来评估我们的手术。
Zotero 插件