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两阶段尿道成形术的长期结果。

Long-term results of two-stage urethroplasty.

作者信息

Somerville J J, Adeyemi O A, Clark P B

出版信息

Br J Urol. 1985 Dec;57(6):742-5. doi: 10.1111/j.1464-410x.1985.tb07045.x.

DOI:10.1111/j.1464-410x.1985.tb07045.x
PMID:4084738
Abstract

Forty-two patients undergoing a two-stage urethroplasty for stricture were reviewed and the long-term sequelae of 30 patients followed up for a minimum period of 1 year (mean 6.3, range 1-14) are presented. Twenty-six patients (87%) were considerably improved, with only minor or no symptoms. Three patients (10%) continued to require treatment for urethral stone or recurrence of stricture and one patient was incontinent. The stricture was eradicated in 28 patients (93%). The late sequelae showed that perineal fistula may not develop until 2 years after the second-stage repair, urethral stone formation until 8 years and recurrence of stricture until 12 years after the second stage. This late onset of sequelae emphasises the importance of long-term follow-up in these patients.

摘要

对42例因尿道狭窄接受两阶段尿道成形术的患者进行了回顾,并报告了30例患者的长期后遗症,这些患者至少随访了1年(平均6.3年,范围1 - 14年)。26例患者(87%)有显著改善,仅有轻微症状或无症状。3例患者(10%)继续需要治疗尿道结石或狭窄复发,1例患者出现尿失禁。28例患者(93%)的狭窄被根除。晚期后遗症显示,会阴瘘可能在二期修复后2年才出现,尿道结石形成在二期修复后8年出现,狭窄复发在二期修复后12年出现。这些后遗症的延迟出现强调了对这些患者进行长期随访的重要性。

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