应用口腔颊黏膜Ⅰ期修复女童复杂性前尿道缺损(附3例报告)

One-stage urethroplasty with buccal mucosa for treatment of complex anterior urethral strictures in girl

目的 :探索颊黏膜在修复女童复杂性前尿道缺损中的应用价值。方法 :采用部分耻骨劈开联合阴道前庭切口 ,截取相应大小的口腔颊黏膜作管状成形Ⅰ期修复女童前尿道缺损 3例。结果 :3例女童术后均排尿通畅 ,最大尿流率为 19.6～ 2 4 .4ml/s,平均为 2 0 .5ml/s,尿道造影示尿道通畅。结论 :口腔颊黏膜具有取材方便、对患者创伤小、抗感染能力强等特性 ,是一种较好的尿道替代材料 ,尤其适合尿道狭窄段 <5cm的患者。

Purpose:To explore the value of urethroplasty with buccal mucosa for the treatment of complex anterior urethra strictures in girls.Method:Partial pubiotomy combined with incision of vestibule of vagina. One stage tubed urethroplasty was performed using free graft of buccal mucosa in 3 girls.Result:Girls voided well after operation with urinary peak flow 19.6 - 24.4 ml/s,mean 20.5 ml/s. Urethrography shows good.Conclusion:Buccal mucosa has a advantage of easy to harvest, a little trauma to patient and a strong antiinfection. Buccal mucosa is a good urethral substitution, especially for the treatment of urethral stricture <5 cm in length.