[通过尿道增强修复 navicularis 的狭窄]
E Mamaev I1,2, M Alekberov E1,2, V Kotov S1,2
1FGAOU VO N.I. Pirogov Russian National Research Medical University of the Ministry of Health of Russia.
Urologiia (Moscow, Russia : 1999)
|September 12, 2025
概括
尿道外腹腔增大尿路整形术有效地使用口腔粘膜移植来治疗 navicularis 的狭窄. 这种安全的程序显著改善了患者的尿液流量和生活质量.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 手术重建手术重建的方法
- 接种技术 接种技术
背景情况:
- 骨 navicularis 狭窄带来了手术挑战,需要重建以获得最佳的美学和功能结果.
- 尿道外腹腔增大尿道整形正在作为治疗这种疾病的方法进行探索.
研究的目的:
- 为了评估通过尿道腹腔增大尿道整形术对 navicularis 狭窄的效率和安全性.
- 评估手术后的功能和美学结果.
主要方法:
- 对9名患者进行前性研究,这些患者患有孤立的,具有尿动力学意义的 navicularis 狭窄.
- 经尿道腹腔尿路切除术,其次是用口腔粘膜移植 (唇膜或口腔) 的"内置"技术.
- 在12-14天取出导管,以避免自发排泄.
主要成果:
- 患者平均年龄为63.4岁;随访时间为6-38个月.
- 病因包括 balanitis xerotica obliterans (BXO),未知病因和阳性.
- 尿液最大流速 (5.8至15毫升/秒) 和IPSS得分 (20.5至13) 的显著改善.
- 没有手术或术后并发症; 患者满意度高.
结论:
- 通过口腔粘膜进行尿道外增强修复是有效和安全的,用于 navicularis 狭窄.
- 对于技术上的方便和口腔粘膜的保存,唇膜粘膜移植受到了青.
- 患者对功能和美学结果的高度满意度.
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