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网状移植物尿道成形术:我们对一种新手术方法的经验

Mesh-graft urethroplasty: our experience with a new procedure.

作者信息

Schreiter F

出版信息

Eur Urol. 1984;10(5):338-44. doi: 10.1159/000463824.

DOI:10.1159/000463824
PMID:6394346
Abstract

From 1977 to December 1983 a total of 64 patients with posterior, anterior or extended urethral stricture have been treated by using free-foreskin grafts after the mesh transplant procedure. This operation is completed as a two-stage procedure. Of paramount importance for success is the open and dry treatment of the graft to assure an ideal situation for later reconstruction. Healing without the formation of fibrous tissue is the rule. In 63 patients this method was applied with an excellent anatomical and functional result. The most important indications are recurrent strictures after several operations, extended strictures of the whole length of the urethra, strictures with chronic inflammations, as well as problematic strictures in paraplegics.

摘要

1977年至1983年12月期间,共有64例后尿道、前尿道或复杂性尿道狭窄患者在网状移植手术后采用游离包皮移植进行治疗。该手术分两期完成。手术成功的关键在于对移植物进行开放干燥处理,以确保后期重建的理想条件。愈合过程中不形成纤维组织是通常情况。63例患者采用此方法,取得了优异的解剖和功能效果。最重要的适应症包括多次手术后的复发性狭窄、尿道全长的复杂性狭窄、伴有慢性炎症的狭窄以及截瘫患者的疑难性狭窄。

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1
Mesh-graft urethroplasty: our experience with a new procedure.网状移植物尿道成形术:我们对一种新手术方法的经验
Eur Urol. 1984;10(5):338-44. doi: 10.1159/000463824.
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[Mesh-graft urethroplasty: a case report].[网状移植物尿道成形术:病例报告]
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Meshgraft urethroplasty using split-thickness skin graft.采用中厚皮片移植的网状移植尿道成形术。
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引用本文的文献

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Long-term outcomes for 2-stage urethroplasty: an analysis of risk factors for urethral stricture recurrence.两期尿道成形术的长期疗效:尿道狭窄复发危险因素分析
World J Urol. 2021 Oct;39(10):3903-3911. doi: 10.1007/s00345-021-03676-8. Epub 2021 Apr 3.
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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.
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[Two-stage urethral reconstruction with buccal mucosa for hypospadias cripples : Long-term results].[采用颊黏膜进行两阶段尿道重建治疗尿道下裂严重畸形:长期结果]
Urologe A. 2013 Oct;52(10):1434-7. doi: 10.1007/s00120-013-3176-7.
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[Perineal urethrostomy in complex anterior urethral stricture].[复杂前尿道狭窄的会阴尿道造口术]
Urologe A. 2010 Jun;49(6):731-3. doi: 10.1007/s00120-010-2312-x.