舌黏膜治疗复杂性前尿道狭窄疗效分析

《舌黏膜治疗复杂性前尿道狭窄疗效分析》由会员上传分享，免费在线阅读，更多相关内容在学术论文-天天文库。

1、授予单位代码10089学号或申请号20153250中国图书分类号R699.6HebeiMedicalUniversity硕士学位论文专业学位舌黏膜治疗复杂性前尿道狭窄疗效分析研究生：张雅楠导师：薛文勇副教授专业：外科学二级学院：河北医科大学第二医院2018年3月目录中文摘要··········································································································1英文摘要·····

2、·····································································································2英文缩写··········································································································4研究论文舌黏膜治疗复杂性前尿道狭窄疗效分析前言·················

3、·························································································5资料与方法······························································································6结果·····························································

4、·············································9附图··········································································································10附表·······························································································

5、···········13讨论··········································································································15结论··········································································································16参考文献················

6、··················································································17综述不同组织材料在尿道修复重建中的应用进展·································20致谢···············································································································

7、·30个人简历········································································································31中文摘要舌黏膜治疗复杂性前尿道狭窄疗效分析摘要目的：探究应用舌黏膜在复杂性前尿道狭窄中的治疗价值及其并发症，以探索一种较为理想的治疗前尿道狭窄的方法。方法：收集2015年4月至2017年12月河北医科大学第二医院泌尿外科应用舌黏膜治疗32例复杂性前尿道狭窄患者的临床资料。包括姓名

8、，性别，年龄，病历号，手术日期等，对手术时间、尿道狭窄部位与长度、术前手术次数、支架管留置时间、舌黏膜切取长度及宽度与术后狭窄复发率进行单因素分析，并观察术后口腔恢复情况。结果：32例患者术后随访6～12个月，术后早期正常排尿27例（84.3%），出现尿道狭窄及相关并发症5例，其中1例出现尿道瘘经过再次修补后排尿通畅，另1例出现尿道瘘未要求继续处理，3例吻合口狭窄经过多次尿道扩张治疗排尿通畅，总体成功率96.9%。舌黏膜移植后出现伸舌受限者6例，其中5例