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阴茎头硬化性苔藓样变及并发前尿道狭窄的临床分析 被引量:4

Clinical Analysis of Lichen Sclerosus of the Male Genitalia and Anterior Urethra Stricture
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摘要 目的:提高对阴茎头硬化性苔藓样变(LS)及由此引起的前尿道狭窄的认识,并探讨合理的手术治疗方法。方法:15例LS并发前尿道狭窄的患者,年龄27~75岁,尿道狭窄段长4~1 6 cm。采用舌黏膜尿道成形11例、结肠黏膜尿道成形2例;尿道外口切开及前尿道劈开术各1例。所有患者手术同时行LS病变组织病理学检查。结果:术后随访6~1 2个月(平均10.07个月)。1例游离结肠黏膜尿道成形患者术后2月发生尿道外口狭窄,行尿道外口切开后排尿道通畅;余者术后排尿通畅,Q_(max):17.2~32 ml/s(平均18.70 ml/s)。结论:采用游离黏膜尿道成形治疗LS性尿道狭窄可取得较好效果,但需密切随访病变迁延致尿道再狭窄。 Objective:To improve the recognition of genital lichen sclerosus(LS) and LS involving anterior urethra, and to evaluated the proper treatment of anterior urethral stricture caused by LS. Methods: 15 patients (aged from 27 75 years) of LS and anterior urethral stricture( length 4-16 cm) were analyzed retrospectively. Of the 15 patients, dorsal lingual mucosal urethrography was underwent in 11 patients, colonic mueosal urethrography in 2. The other 2 patients underwent meatotomy and urethra splitted. All the patients underwent LS histopathologic ex amination at the same time. Results: Follow up was obtained for 6-12 months (mean, 10.07) postoperatively. One patient developed meatal stenosis in 2 month after colonic mucosal urethrography, and incised urethra, after which the patient voided well. The other patients voided well and urinary peak flow rates ranged from 17.2-32.0 ml/s (mean 18.7). Conclusions:The urethral involvement in LS patients underwent free mucosal graft substitution urethroplasty may obtained good result, but the recurrence of urethral stricture should be highly recognized and followed-up.
出处 《临床泌尿外科杂志》 北大核心 2009年第8期617-619,共3页 Journal of Clinical Urology
关键词 硬化性苔藓样变 干燥性闭锁性阴茎头 前尿道狭窄 尿道成形 lichen sclerosus balanitis xerotica obliterans anterior urethral stricture
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参考文献17

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同被引文献68

  • 1谭兴友,田中华,成志明,牛长秀,王养岭.闭塞性干燥性龟头炎一例[J].国际皮肤性病学杂志,2007,33(3):133-133. 被引量:6
  • 2Gutierrez-Pascual M, Vicente-Martin FJ, LopezEstebaranz JL. Lichen sc1erosus and Squamous cell carcinoma. Aetas Dermositiliogr 2012; 103(1): 21-28.
  • 3Barbagli G, Mirri F, Gallucci M, et al. Histological evidence of urethral involvement in male patients with genital lichen sc1erosus: a preliminary report. J Uro120 11, 185(6):2171-2176.
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  • 5Murphy R. Lichen sc1erosus. Dermato1 Clin 2010; 28(4): 707-715.
  • 6Pugliese J M, Morey A F, Peterson A C. Lichen sc1erosus: review of the literature and current recommendations for management. J Uro12007; 178(6):2268-2276.
  • 7Becker K. Lichen sc1erosus in boys. Dtseh Arzteb11nt 2011; 108(4): 53-58.
  • 8Kiss A, Kiraly L, Kutasy B,etal. High incidence of balanitis xerotica obliterans in boys with phimosis: prospective 10 year study. Pediatr Dennato12005; 22(4):305-308.
  • 9Kulkarni S, Barbagli G, Kirpekar D, et al. Lichen sc1erosus of the male genitalia and urethra: surgical options and results in a multicenter international experience with 215 patients. Eur Uro12009; 55(4): 945-956.
  • 10Onol SY, Onol FF, Gumus E, et al. Reconstruction of distal urethral strictures confined to the glans with circular buccal mucosa graft. Urology 2012; 79(5): 1158-1162.

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