摘要
目的探讨阴茎游离皮片背侧镶嵌成形术治疗老年男性前尿道狭窄的临床疗效。方法选择2018年1月—2020年5月本院收治的前列腺增生实施经尿道前列腺切除术后前尿道狭窄患者80例,按照随机数表法分为两组,各40例。观察组实施阴茎游离皮片背侧镶嵌成形术进行治疗,对照组应用舌黏膜为移植物,比较两组手术时间、术中出血量、术后住院时间、治疗前后最大尿流速率、手术前后残余尿量及并发症发生率。结果观察组手术时间指标,术中出血相关指标及术后住院时间相关指标均优于对照组,差异有统计学意义(P <0.05),手术后观察时间点观察组最大尿流速率指标,残余尿量指标等均优于对照组,差异均有统计学意义(P <0.05),观察组术后阴茎勃起疼痛、血尿、尿瘘及尿道憩室等发生率明显低于对照组,差异均有统计学意义(P <0.05)。结论针对经尿道前列腺切除术后前尿道狭窄者,行阴茎游离皮片背侧镶嵌成形术治疗,具有创伤小,术后尿流动力学指标恢复快,并发症少等优点。
Objective To investigate the clinical effect of dorsal inlay and plasty with free penis skin in the treatment of anterior urethral stricture in elderly men. Methods 80 cases with anterior urethral stricture after transurethral prostatectomy from January 2018 to May 2020 were selected and divided into two groups according to random number table, 40 cases in each group. The observation group was treated with dorsal inlay plasty of free penis skin, while the control group was treated with tongue mucosa as graft. The operation time, intraoperative bleeding and postoperative hospital stay were compared between the two groups. The maximum urine flow rate before and after treatment was compared between the two groups. The residual urine volume before and after operation was compared between the two groups. Compare the incidence of postoperative complications between the two groups. Results The indexes of operation time, intraoperative bleeding and postoperative hospital stay in the observation group were better than those in the control group(P<0.05).The indexes of maximum urinary flow rate and residual urine volume in the observation group at the observation time point after operation were better than those in the control group, the differences were statistically significant(P<0.05) The incidence of urinary fistula and urethral diverticulum in the control group was significantly lower than that in the control group(P<0.05). Conclusion For the patients with anterior urethral stricture after transurethral prostatectomy, the treatment of dorsal inlay plasty with free skin of penis has the advantages of less trauma, quick recovery of urodynamic indexes after operation and less complications.
作者
陈敬儒
廖正泉
陈军武
CHEN Jingru;LIAO Zhengquan;CHEN Junwu(Department of Urology,Yidu First People's Hospital,Yidu Hubei 443300,China)
出处
《中国继续医学教育》
2021年第35期98-102,共5页
China Continuing Medical Education
