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前泌尿道狭窄的外科管理:一个23年的单中心研究

Yilong Guo¹, Ning Ma², Jiaxiong Zhang³

¹Department of Comprehensive Plastic Surgery, Plastic Surgery Hospital of Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, People's Republic of China.

Research and reports in urology

|February 24, 2025

概括

前泌尿道狭窄的手术治疗是有效的,但长期成功率下降. 较长的症状持续时间和先前的尿路整形增加了手术失败的风险在前尿道狭窄疾病.

科学领域:

泌尿器科泌尿器科泌尿器科泌尿器科
外科手术的结果
医学研究医学研究

背景情况:

前尿道狭窄由于高复发率和并发症率而带来了重大挑战.
关于尿道狭窄手术的长期结果的数据有限.
了解复发风险因素对于改善患者管理至关重要.

研究的目的:

为了评估前尿道狭窄的长期外科结果.
确定与不同手术治疗相关的临床特征.
调查导致手术后收缩复发的因素.

主要方法:

一项对145名前尿道狭窄的男性患者进行了23年的回顾性研究.
外科手术包括肉切割,解剖性尿路整形 (AU),阴茎皮尿路整形 (PFU),单阶段口腔粘膜移植 (SSU) 和多阶段口腔粘膜移植 (MSU).
使用Clavien-Dindo分类来评估并发症和患者报告的结果措施 (PROM) 来评估成功的结果,随着100个月的随访截止时间.

主要成果:

整体平均收缩长度为2.3厘米;常见的位置包括阴茎和 navicularis.
短期和长期的成功率因手术而异,在五组之间没有显著差异的无收缩生存率.
晚期并发症率为20.3% (短期) 和30.3% (长期);74.5%的患者报告满意度.
狭窄症状持续时间和先前的尿路整形是手术失败的独立预测因素.

结论:

手术管理为前尿道狭窄疾病提供了有效和功能性的治疗方法.
尿路整形成功率在延长后续期间显示下降趋势.
症状持续时间延长和之前的尿路整形大大增加了手术失败的风险.

关键词:

前尿道狭窄的前部尿道狭窄这是一个复杂的并发症.重建性的外科手术程序.尿道是尿道的一部分.尿路形术是指进行尿路形术.

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