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背侧口腔黏膜移植尿道成形术用于女性尿道狭窄重建:一项叙述性综述。

Dorsal oral mucosa graft urethroplasty for female urethral stricture reconstruction: A narrative review.

作者信息

Tao Chunqin, Jin Xiaoxiang, Zhang Hengshu

机构信息

Department of Burns and Plastic Surgery, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China.

Department of Urology, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China.

出版信息

Front Surg. 2023 Mar 21;10:1146429. doi: 10.3389/fsurg.2023.1146429. eCollection 2023.

Abstract

Female urethral stricture is currently a challenging situation. In general, urethra dilatation can be selected for treatment, but the complications and high recurrence rate urge doctors to consider other treatments. Recently, dorsal oral mucosa graft urethroplasty is concerned by more and more surgeons, but there are not enough reports so far. A comprehensive search of dorsal oral mucosa graft urethroplasty was performed. According to the existing literature, there are applications of buccal mucosa and lingual mucosa, and compared with other kinds of grafts, the success rate is higher. However, there is a lack of multicenter, large sample and long follow-up studies. And there is still no enough comparative study between different types of oral mucosa. In summary, dorsal oral mucosa graft urethroplasty is an effective option for the management of female urethral stricture. More multicenter and large sample studies with long-term follow-up data are needed.

摘要

女性尿道狭窄目前是一个具有挑战性的情况。一般来说,可以选择尿道扩张术进行治疗,但并发症和高复发率促使医生考虑其他治疗方法。最近,口腔背侧黏膜移植尿道成形术受到越来越多外科医生的关注,但迄今为止相关报道不足。对口腔背侧黏膜移植尿道成形术进行了全面检索。根据现有文献,有颊黏膜和舌黏膜的应用,与其他类型的移植物相比,成功率更高。然而,缺乏多中心、大样本和长期随访研究。并且不同类型口腔黏膜之间仍没有足够的对比研究。综上所述,口腔背侧黏膜移植尿道成形术是治疗女性尿道狭窄的一种有效选择。需要更多有长期随访数据的多中心、大样本研究。

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本文引用的文献

1
An Update on Female Urethral Stricture Disease.
Curr Urol Rep. 2022 Nov;23(11):303-308. doi: 10.1007/s11934-022-01113-w. Epub 2022 Oct 29.
8
Minimally Invasive Buccal Mucosa Dorsal Graft for Female Distal Urethroplasty.微创颊黏膜背侧移植术用于女性远端尿道成形术
Eur Urol Open Sci. 2021 Jan 6;24:34-38. doi: 10.1016/j.euros.2020.12.001. eCollection 2021 Feb.

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