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双侧颊黏膜移植用于尿道成形术：一种多功能移植物。

Bilateral Buccal Mucosa Graft for Urethroplasty: A Versatile Graft.

作者信息

Fauzi Fattirah Auni, Abdullah Mohd Faizal, Abdul Rahman Shaifulizan

机构信息

Oral and Maxillofacial Surgery, Hospital Universiti Sains Malaysia, Kota Bharu, MYS.

Oral and Maxillofacial Surgery, School of Dental Sciences, Universiti Sains Malaysia, Health Campus, Kota Bharu, MYS.

出版信息

Cureus. 2024 Feb 22;16(2):e54715. doi: 10.7759/cureus.54715. eCollection 2024 Feb.

DOI:10.7759/cureus.54715
PMID:38523935
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10960615/
Abstract

Male urethral stricture is scarring of the urethral tissue that narrows the urethral lumen causing reduced urinary flow. Urethral reconstruction or substitution urethroplasty using oral mucosa graft, especially from the buccal mucosa, is one of the most widely known techniques to manage urethral stricture. However, studies using bilateral buccal mucosa are still limited. Therefore, this study aims to report our experience and technique of bilateral buccal mucosa grafting for urethroplasty. The authors described a 66-year-old man with long-segment urethral stricture that was successfully treated with urethral reconstruction harvested from bilateral buccal mucosa.

摘要

男性尿道狭窄是尿道组织的瘢痕形成，使尿道腔变窄，导致尿流减少。使用口腔黏膜移植物，尤其是颊黏膜进行尿道重建或替代尿道成形术，是治疗尿道狭窄最广为人知的技术之一。然而，使用双侧颊黏膜的研究仍然有限。因此，本研究旨在报告我们使用双侧颊黏膜移植进行尿道成形术的经验和技术。作者描述了一名66岁的男性，患有长段尿道狭窄，通过取自双侧颊黏膜的尿道重建成功治愈。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/625a/10960615/0bd728fbe082/cureus-0016-00000054715-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/625a/10960615/b3a038da8048/cureus-0016-00000054715-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/625a/10960615/366afa00544e/cureus-0016-00000054715-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/625a/10960615/71a2e8add833/cureus-0016-00000054715-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/625a/10960615/752e60d90515/cureus-0016-00000054715-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/625a/10960615/9bd01c84546b/cureus-0016-00000054715-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/625a/10960615/0bd728fbe082/cureus-0016-00000054715-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/625a/10960615/b3a038da8048/cureus-0016-00000054715-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/625a/10960615/366afa00544e/cureus-0016-00000054715-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/625a/10960615/71a2e8add833/cureus-0016-00000054715-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/625a/10960615/752e60d90515/cureus-0016-00000054715-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/625a/10960615/9bd01c84546b/cureus-0016-00000054715-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/625a/10960615/0bd728fbe082/cureus-0016-00000054715-i06.jpg

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本文引用的文献

1
Substitution urethroplasty using oral mucosa graft for male anterior urethral stricture disease: Current topics and reviews.使用口腔黏膜移植物进行替代尿道成形术治疗男性前尿道狭窄疾病：当前主题与综述
Int J Urol. 2017 Jul;24(7):493-503. doi: 10.1111/iju.13356. Epub 2017 Jun 10.
2
Graft surgery in extensive urethral stricture disease.广泛尿道狭窄疾病中的移植手术。
Curr Urol Rep. 2014 Aug;15(8):424. doi: 10.1007/s11934-014-0424-3.
3
Prediction of early and late complications after oral mucosal graft harvesting: multivariable analysis from a cohort of 553 consecutive patients.
预测口腔黏膜移植术后早期和晚期并发症：来自 553 例连续患者队列的多变量分析。
J Urol. 2014 Mar;191(3):688-93. doi: 10.1016/j.juro.2013.09.006. Epub 2013 Sep 11.
4
Urethral reconstruction using buccal mucosa or penile skin grafts: systematic review and meta-analysis.使用颊黏膜或阴茎皮肤移植进行尿道重建：系统评价与荟萃分析。
Urol Int. 2012;89(4):387-94. doi: 10.1159/000341138. Epub 2012 Aug 9.
5
Morbidity of oral mucosa graft harvesting from a single cheek.单颊取口腔黏膜移植物的发病率。
Eur Urol. 2010 Jul;58(1):33-41. doi: 10.1016/j.eururo.2010.01.012. Epub 2010 Jan 19.
6
Urethral reconstruction using colonic mucosa graft for complex strictures.使用结肠黏膜移植物进行尿道重建治疗复杂性狭窄。
J Urol. 2009 Sep;182(3):1040-3. doi: 10.1016/j.juro.2009.05.030. Epub 2009 Jul 18.
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What is the best technique for urethroplasty?尿道成形术的最佳技术是什么？
Eur Urol. 2008 Nov;54(5):1031-41. doi: 10.1016/j.eururo.2008.07.052. Epub 2008 Aug 19.
8
Long-term efficacy of distal penile circular fasciocutaneous flaps for single stage reconstruction of complex anterior urethral stricture disease.阴茎远端环形筋膜皮瓣一期重建复杂性前尿道狭窄疾病的长期疗效
J Urol. 2008 Jun;179(6):2259-64. doi: 10.1016/j.juro.2008.01.087. Epub 2008 Apr 18.
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Long-term followup of buccal mucosa onlay graft for hypospadias repair: analysis of complications.
J Urol. 2004 Nov;172(5 Pt 1):1970-2; discussion 1972. doi: 10.1097/01.ju.0000142451.78966.fb.
10
Oral complications after buccal mucosal graft harvest for urethroplasty.用于尿道成形术的颊黏膜移植术后的口腔并发症。
BJU Int. 2004 Oct;94(6):867-9. doi: 10.1111/j.1464-410X.2004.05048.x.