頁籤選單縮合
題名 | Combining Free Buccal Mucosal Graft and Local Tissue from Urethral Diverticulectomy to Repair Complex Urethral Stricture : Report of a Case=併用口腔黏膜游離皮瓣與局部尿道憩室組織以修補複雜性尿道狹窄 : 病例報告 |
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作者 | 唐守宏; 高建璋; 吳勝堂; 莊豐賓; 查岱龍; | 書刊名 | 臺灣外科醫學會雜誌 |
卷期 | 43:5 2010.09-10[民99.09-10] |
頁次 | 頁243-247 |
分類號 | 416.27 |
關鍵詞 | 口腔黏膜游離皮瓣; 局部尿道憩室組織; 複雜性尿道狹窄; Urethra; Stricture; Urethroplasty; Buccal mucosa; Diverticulum; |
語文 | 英文(English) |
英文摘要 | The repair of a complex urethral stricture is a great challenge to all surgeons. Most patients with such a condition underwent repeated endoscopic procedures before having the definitive open repair. We describe a 38-year-old male who sustained straddle injury and subsequently developed stricture at the bulbar urethra. The affected urethral segment was 1-2 cm long in the beginning, but became 6 cm in length after more than 10 endoscopic procedures. Prior to definitive repair, we noted multiple false passages and diverticula in the urethra. In this particular case, the trauma-related urethral diverticulum was used as part of the ventral floor and the rest of the urethral lumen was reconstructed with a free buccal mucosal graft. Following the urethroplasty, a short web-like stricture (<0.5 cm in length) developed three months after the operation. The short stricture was further managed by endoscopic internal urethrotomy only once. No recurrence was noted up to 18 months thereafter. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。