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女性尿道海绵体血管瘤:手术切除及经阴道腹侧移植物尿道成形术重建

Urethral cavernous hemangioma in female: Surgical resection and reconstruction with ventral vaginal graft urethroplasty.

作者信息

Santosa Kadek Budi, Tirtayasa Pande Made Wisnu, Yudiana I Wayan, Duarsa Gede Wirya Kusuma, Oka Anak Agung Gde

机构信息

Division of Urology, Department of Surgery, Faculty of Medicine, Universitas Udayana/Sanglah Hospital, Bali, Indonesia.

出版信息

Urol Case Rep. 2018 Dec 15;23:52-54. doi: 10.1016/j.eucr.2018.12.008. eCollection 2019 Mar.

DOI:10.1016/j.eucr.2018.12.008
PMID:30591908
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6304338/
Abstract

Urinary hemangiomas are uncommon and can predispose any part of the urinary system. The urethra is infrequently involved and usually affected male urethra. We reported a sixty-three-year-old female patient with intermittent urethral bleeding due to tumor arising at the edge of the urethra. Urethrocystoscopy was done prior to surgical resection and ventral vaginal graft urethroplasty was performed directly afterwards. Histopathological reported a urethral cavernous hemangioma. An individualized approach regarding the most appropriate procedure for a given patient should be recommended.

摘要

泌尿生殖系统血管瘤并不常见,可累及泌尿系统的任何部位。尿道较少受累,通常累及男性尿道。我们报告了一名63岁女性患者,因尿道边缘出现肿瘤而出现间歇性尿道出血。手术切除前进行了尿道膀胱镜检查,随后直接进行了经阴道腹侧移植尿道成形术。组织病理学报告为尿道海绵状血管瘤。对于特定患者,应推荐采用个体化方法选择最合适的手术方式。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ea1a/6304338/11bb59a54e96/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ea1a/6304338/418466855705/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ea1a/6304338/a2b88ed30653/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ea1a/6304338/11bb59a54e96/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ea1a/6304338/418466855705/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ea1a/6304338/a2b88ed30653/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ea1a/6304338/11bb59a54e96/gr3.jpg

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本文引用的文献

1
Vaginal-sparing ventral buccal mucosal graft urethroplasty for female urethral stricture: A novel modification of surgical technique.阴道保留的腹侧颊黏膜移植尿道成形术治疗女性尿道狭窄:一种手术技术的新改良。
Investig Clin Urol. 2016 Jul;57(4):298-302. doi: 10.4111/icu.2016.57.4.298. Epub 2016 Jul 5.
2
Cavernous hemangioma of anterior urethra: An unusual cause of vaginal bleeding.前尿道海绵状血管瘤:阴道出血的罕见原因。
Indian J Pathol Microbiol. 2016 Apr-Jun;59(2):245-6. doi: 10.4103/0377-4929.174879.
3
Urethral cavernous hemangioma in a female patient: a rare entity.
一名女性患者的尿道海绵体血管瘤:一种罕见病例。
Pan Afr Med J. 2015 Dec 11;22:352. doi: 10.11604/pamj.2015.22.352.8418. eCollection 2015.
4
Cavernous hemangioma of the female urethra: a rare case report.女性尿道海绵状血管瘤:一例罕见病例报告
Urol J. 2014 May 7;11(2):1521-3.
5
Controversies in female urethral anatomy and their significance for understanding urinary continence: observations and literature review.
Int Urogynecol J Pelvic Floor Dysfunct. 2002;13(4):236-52. doi: 10.1007/s001920200051.