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目的探讨阴囊中隔皮瓣尿道成形术治疗长段的尿道狭窄的临床疗效。方法选择男性前尿道狭窄患者10例。年龄16～65岁,平均37岁,尿道狭窄长度2.0～5.5cm,平均3.0cm。手术彻底切除狭窄段尿道,取合适大小的带蒂阴囊中隔皮瓣,5～0可吸收肠线缝合成管状,与尿道端端斜面吻合,保留尿道支架管3～4周。结果10例手术均成功,手术时间150～230min,平均180min,随访1～35个月,平均16个月。阴茎外观满意,2例手术后1～2个月出现排尿变细,经扩张后排尿通畅。结论阴囊中隔尿道成形术治疗长段前尿道狭窄简单有效,并发症少,可作为长段前尿道狭窄临床治疗选择之一。
Objective To investigate the clinical effect of scrotal septa flap urethroplasty in treating long urethral stricture. Methods Ten patients with male anterior urethral stricture were selected. Aged 16 to 65 years old, average 37 years old, urethral stricture length 2.0 ~ 5.5cm, an average of 3.0cm. Surgical removal of the narrow segment of the urethra, take the appropriate size of the pedicle of the scrotum septum flap, 5 ~ 0 intestinal suture can be absorbed into the tube, and the end of the urethra incline, retaining the urethral stent tube 3 to 4 weeks. Results All the 10 surgeries were successful. The operation time ranged from 150 to 230 minutes (mean 180 minutes). The follow-up period ranged from 1 to 35 months (average 16 months). Penis appearance satisfactory, 2 cases of urination after 1 to 2 months of thinning, voiding patency after expansion. Conclusions Scrotal septoplasty and urethroplasty are simple and effective in the treatment of long anterior urethral stricture with few complications, which may be used as one of the clinical treatment options for long anterior urethral stricture.