舌黏膜补片治疗复杂性尿道狭窄的疗效观察

目的：探讨使用舌黏膜补片尿道成形治疗复杂性尿道狭窄的有效性。方法：2006年12月～2009年1月应用舌黏膜补片法治疗复杂性前尿道狭窄患者36例。结果：术后随访3～25个月，平均13．6个月。2例术后出现尿瘘，经再次手术修补后好转；另2例术后出现尿道狭窄，经尿道扩张后治愈。余者术后排尿通畅，平均最大尿流率达23．8ml／s。结论：舌黏膜具有取材方便、取材部位并发症少等优点，是一种治疗前尿道狭窄较好的替代物。

Lingual Mucosal Graft for Treatment of Complex Urethral Strictures

Objective:To explore the efficacy of urethrolplasty for anterior urethral stricture using lingual mu-cosal graft. Methods.. Between December 2006 and January 2009, 36 patients with complex anterior urethral stric-tures were treated with lingual mucosal graft. Results: Follow-up was performed for 3-25 months (mean 13.6 months) postoperatively. Complications occurred in 4 patients, including urinary fistulas in 2 patients, which im-proved by the second urethrolplasty; recurrent stricture in 2 patients, which was cured after urethral dilation. The remaining patients voided well postoperatively, with mean peak flows 23.8 ml/s. Conclusions:The lingual mucosal graft has the advantages of accessibility, lower complication rate and better compatibility for treatment of anterior urethral strictures.