粘膜瘤解剖非切割增大 (MANTA) 尿路整形术:一种用于消灭性狭窄的腹腔修饰
Phillip Marks1, Roland Dahlem1, Florian Janisch1
1Department of Urology, University Medical Center Hamburg Eppendorf, Hamburg, Germany.
BJU international
|July 6, 2023
概括
粘膜瘤解剖非切割增大 (MANTA) 尿道造形术为圆柱状尿道狭窄提供了优秀的长期结果. 这种手术修改提供了高的成功率和患者满意度,改善了下泌尿道症状.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 手术创新 在外科创新.
- 重建性手术是一种重建性手术.
背景情况:
- 气囊尿道狭窄通常会带来复杂的挑战,特别是那些具有长,消灭性细分的细分.
- 以前的治疗方法,如扩张和尿路切除,具有局限性和高复发率.
- 口腔粘膜移植尿路整形 (BMGU) 是一种常见的方法,但对于特定的狭窄类型需要进行修改.
研究的目的:
- 引入和评估一种新的外科手术技术,即粘膜膜静脉非截面增大术 (MANTA).
- 评估MANTA尿路整形术对于特定的圆柱管狭窄的长期目标和患者报告的结果.
- 为了确定这种修改尿路整形技术的疗效和安全性.
主要方法:
- 患有凸骨收缩 (≥2厘米) 和短消灭片段 (≤1.5厘米) 的患者接受了MANTA尿路整形术.
- 这种技术涉及腹部接近,表面的背部痕切除,完整的海绵体,背部解剖体和腹部安置移植.
- 收集了外科手术期间的数据,尿液流量测量和经过验证的患者报告的结果测量 (排泄,勃起,禁欲功能).
主要成果:
- 在接受曼塔尿路整形的54名患者中,93%的患者在41个月的中位随访期内取得了功能性成功.
- 观察到下泌尿道症状 (LUTS) 评分有显著改善 (13至3.5,P<0.001).
- 没有注意到勃起功能或尿失禁的显著变化;100%的患者报告满意度.
结论:
- 曼塔尿路整形术是一种有效的手术修改,用于长的圆柱体狭窄,短的,高度消灭的段落.
- 该程序显示出出色的长期目标成功和高患者满意度.
- 这种技术扩大了复杂的尿道狭窄修复的手术选择.
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