一期双阴唇带蒂皮瓣尿道成形术治疗女性尿道闭锁(附二例报告)

Primary urethroplasty with the use of two pedunculated flaps of lip of pudenda for female urethral oblite ration (report of 2 cases)

目的 提高女性外伤性尿道闭锁的疗效。 方法 利用双阴唇带蒂皮瓣修复女性外伤性尿道闭锁。 结果 2例术后最大尿流率分别为 18.2ml/s、17.7ml/s ,平均尿流率分别为9.0ml/s、10 .9ml/s。 2例分别随访 15、36个月 ,均排尿通畅 ,无需尿道扩张。 结论 双阴唇带蒂皮瓣尿道成形术是治疗女性尿道闭锁的一种较为合理有效的方法。

Objective To improve the urethroplasty efficacy for female urethral obliteration by the use of 2 pedunculated flaps of the lip of pudenda. Methods 2 cases of female urethral obliteration were treated with the use of 2 pedunculated flaps of lip of pudenda to repair the urethral obliteration. Results Both the patients could pass urine freely and needed no dilation of the urethra during the 15 and 36 months of follow up.The maximum flow rate were 18.2 ml/s、17.7 ml/s,the average flow rate were 9.0 ml/s、 10.9 ml/s and the voiding volume were 206 ml、247 ml. Conclusions Urethroplasty with the use of pedunculated flaps of lip of pudenda is a safe and effective procedure.