利用阴茎皮肌膜皮瓣重建尿道修复前列腺手术后尿道外口和舟状窝狭窄.ppt
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RECONSTRUCTION OF POST-PROSTATECTOMY STRICTURES OF THE FOSSA NAVICULARIS AND URETHRAL MEATUS USING FASCIOCUTANEOUS PENILE FLAP
利用阴茎皮肌膜皮瓣重建尿道修复前列腺手术后尿道外口和舟状窝狭窄
* Five and 19 patients had undergone open prostatectomy and transurethral prostatic resection, respectively. All patients had undergone multiple urethral dilatations.5位病人有开放性前列腺切除术和19位患者有经尿道前列腺切除史,所有患者均有多次尿道扩张经历。
* A subcoronal incision was made on ventral penile skin and carried down through Buck's fascia to urethra.取阴茎腹侧皮肤冠状沟处做切口,穿过Buck's筋膜达尿道
* Fossa navicularis and meatus were exposed by dissecting urethra under the glans.在阴茎头下方解剖尿道使舟状窝和管口暴露
* A fasciocutaneous flap was created with appropriate lengthand width, and transferred to ventral urethra. 4/0 polyglactin suture was used to sew the sides of the flap to the edges of the incised strictured urethra so as to admit a 24 Fr bougie without any resistance.设计适当宽度和长度的皮肌筋膜皮瓣并转移至腹侧尿道,狭窄的尿道内放入Fr24尿道扩张器做为支架,用4/0可吸收缝合线将皮瓣和管口边缘缝合
* Reconstruction of post-prostatectomy strictures of the fossa navicularis and external meatus with ventral transverse penile fasciocutaneous flap is an efficient method to restore a functional and cosmetic urethra with preserving glandular ntegrity.利用阴茎皮肌膜皮瓣重建尿道修复前列腺手术后尿道外口和舟状窝狭窄是一种有效的修复方法,即保存了阴茎头的完整又对尿道进行整形
RECONSTRUCTION OF POST-PROSTATECTOMY STRICTURES OF THE FOSSA NAVICULARIS AND URETHRAL MEATUS USING FASCIOCUTANEOUS PENILE FLAP
利用阴茎皮肌膜皮瓣重建尿道修复前列腺手术后尿道外口和舟状窝狭窄
* Five and 19 patients had undergone open prostatectomy and transurethral prostatic resection, respectively. All patients had undergone multiple urethral dilatations.5位病人有开放性前列腺切除术和19位患者有经尿道前列腺切除史,所有患者均有多次尿道扩张经历。
* A subcoronal incision was made on ventral penile skin and carried down through Buck's fascia to urethra.取阴茎腹侧皮肤冠状沟处做切口,穿过Buck's筋膜达尿道
* Fossa navicularis and meatus were exposed by dissecting urethra under the glans.在阴茎头下方解剖尿道使舟状窝和管口暴露
* A fasciocutaneous flap was created with appropriate lengthand width, and transferred to ventral urethra. 4/0 polyglactin suture was used to sew the sides of the flap to the edges of the incised strictured urethra so as to admit a 24 Fr bougie without any resistance.设计适当宽度和长度的皮肌筋膜皮瓣并转移至腹侧尿道,狭窄的尿道内放入Fr24尿道扩张器做为支架,用4/0可吸收缝合线将皮瓣和管口边缘缝合
* Reconstruction of post-prostatectomy strictures of the fossa navicularis and external meatus with ventral transverse penile fasciocutaneous flap is an efficient method to restore a functional and cosmetic urethra with preserving glandular ntegrity.利用阴茎皮肌膜皮瓣重建尿道修复前列腺手术后尿道外口和舟状窝狭窄是一种有效的修复方法,即保存了阴茎头的完整又对尿道进行整形
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