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Snodgrass手术中切开尿道板的长期转归:确实存在一个实际问题。

Long-term fate of the incised urethral plate in Snodgrass procedure; A real concern does exist.

作者信息

Abbas Tariq O, Charles Adrian, Ali Mansour, Pippi Salle Joao Luiz

机构信息

Division of Pediatric Urology, Departement of Surgery, Sidra Medicine, Doha, Qatar.

College of Medicine, Qatar University, Doha, Qatar.

出版信息

Urol Case Rep. 2020 Apr 23;32:101216. doi: 10.1016/j.eucr.2020.101216. eCollection 2020 Sep.

DOI:10.1016/j.eucr.2020.101216
PMID:32435593
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7232082/
Abstract

We present here a case of a patient post tabularized incised plate urethroplasty for distal hypospadias without chordee who developed urethral stenosis and acquired curvature along the territory of the incised plate necessitating a redo surgery. The histological analysis of the incised urethral plate revealed absence of smooth muscles, vessels and elastin fibers within the area of the incised plate which could explain the poor compliance of this segment and the development of the curvature. To our knowledge, this case is the first in humans displaying the long-term histological findings of healing post tabularized incised plate urethroplasty.

摘要

我们在此呈现一例远端尿道下裂(无阴茎下弯)患者,其在接受板层切开尿道成形术后出现尿道狭窄,并在切开板区域出现获得性弯曲,需要再次手术。对切开的尿道板进行组织学分析发现,切开板区域内缺乏平滑肌、血管和弹性纤维,这可以解释该节段顺应性差及弯曲形成的原因。据我们所知,该病例是首例展示板层切开尿道成形术后愈合长期组织学结果的人类病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a358/7232082/ba2217a9ebf2/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a358/7232082/4bc095d95291/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a358/7232082/ba2217a9ebf2/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a358/7232082/4bc095d95291/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a358/7232082/ba2217a9ebf2/gr2.jpg

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本文引用的文献

1
Urine as a Main Effector in Urological Tissue Engineering-A Double-Edged Sword.尿液在泌尿外科组织工程中的双刃剑作用
Cells. 2020 Feb 26;9(3):538. doi: 10.3390/cells9030538.
2
When to Graft the Incised Plate During TIP Repair? A Suggested Algorithm That may Help in the Decision-Making Process.在鼻尖整形修复术中何时移植切开的软骨板?一种可能有助于决策过程的建议算法。
Front Pediatr. 2018 Nov 14;6:326. doi: 10.3389/fped.2018.00326. eCollection 2018.
3
Tubularized incised plate repair: functional outcome after intermediate followup.管状切开板修复术:中期随访后的功能结果
使用人工智能对阴茎弯曲进行自动量化。
Front Artif Intell. 2022 Aug 30;5:954497. doi: 10.3389/frai.2022.954497. eCollection 2022.
4
Ultrasonographic Evaluation of the Hypospadiac Penis in Children.儿童尿道下裂阴茎的超声评估
Front Pediatr. 2022 Jul 6;10:932201. doi: 10.3389/fped.2022.932201. eCollection 2022.
J Urol. 2003 Jan;169(1):331-3; discussion 333. doi: 10.1016/S0022-5347(05)64120-1.
4
Mechanism of healing following the Snodgrass repair.斯诺德格拉斯修复术后的愈合机制。
J Urol. 2001 Jan;165(1):277-9. doi: 10.1097/00005392-200101000-00078.
5
Effect of the depth and width of the urethral plate on tubularized incised plate urethroplasty.尿道板深度和宽度对管状切开尿道成形术的影响。
J Urol. 2000 Aug;164(2):489-91.