Quentel P, Beurton D, Baron J C, Cukier J
Service d'Urologie, Hôpital Necker, Paris.
Ann Pediatr (Paris). 1990 Jun;37(6):387-9.
Thirty-six urethral strictures were treated between 1977 and 1984. Three strictures were considered to be congenital, eleven were traumatic and twenty-two were iatrogenic. The authors performed twenty five internal urethrotomies, twelve resection-sutures of the urethra and eleven urethroplasties including eight patch grafts with a pedicle derived from scrotal or penile skin, a tubed pedicle scrotal skin flap, one Jurascek urethroplasty and one Leveuf urethroplasty. Internal urethrotomy only gave 50% of good results and is now reserved for short strictures less than one centimetre in length. Resection-suture is an excellent operation which should be reserved for strictures less than two centimetres in length: it gave 84% of good results. One of the various types of pedicle cutaneous urethroplasty is certainly the best operation for long strictures: it gave more than 90% of good results in the present series.
1977年至1984年间共治疗了36例尿道狭窄。其中3例为先天性狭窄，11例为外伤性狭窄，22例为医源性狭窄。作者实施了25例尿道内切开术、12例尿道切除缝合术以及11例尿道成形术，包括8例采用阴囊或阴茎皮肤带蒂皮片移植、1例带蒂阴囊皮管皮瓣、1例尤拉斯切克（Jurascek）尿道成形术和1例勒弗（Leveuf）尿道成形术。尿道内切开术的良好效果仅为50%，目前仅适用于长度小于1厘米的短段狭窄。切除缝合术是一种出色的手术，应保留用于长度小于2厘米的狭窄：其良好效果达84%。各种带蒂皮瓣尿道成形术之一无疑是治疗长段狭窄的最佳手术：在本系列中其良好效果超过90%。
