舌黏膜移植物治疗尿道狭窄的研究进展

杨昊璇 ,  李君 ,  唐圣 ,  贺明阳 ,  陈江涛 ,  徐志杰 ,  阚金龙 ,  薛文勇 ,  齐进春

现代泌尿外科杂志 ›› 2026, Vol. 31 ›› Issue (9) : 877 -880.

PDF (948KB)
现代泌尿外科杂志 ›› 2026, Vol. 31 ›› Issue (9) : 877 -880. DOI: 10.12483/j.issn.1009-8291.202603046
综述

舌黏膜移植物治疗尿道狭窄的研究进展

作者信息 +

Research progress of lingual mucosal graft for urethral stricture

Author information +
文章历史 +
PDF (970K)

摘要

尿道狭窄一直是泌尿外科临床上的治疗难点。舌黏膜移植物因其组织学特性逐渐成为尿道修复重建的重要材料,为各类病因造成的尿道狭窄,尤其是复杂尿道狭窄的修复提供了良好的材料。舌黏膜代尿道成形术的不断完善也为尿道修复重建提供了技术支持。随着科技进步,舌黏膜移植物及其工程化材料将在尿道修复重建中发挥更广泛的作用。本文从舌黏膜移植物的生物学特性、临床应用、手术技术及组织工程学进展等方面进行综述,旨在为临床提供参考。

Abstract

Urethral stricture has always been a therapeutic challenge in urological clinical practice. In recent years, lingual mucosal grafts have gradually become an important material for urethral reconstruction due to their histological properties, providing a favorable option for repairing urethral strictures caused by various etiologies, especially complex cases. The continuous refinement of lingual mucosal urethroplasty has also provided technical support for urethral reconstruction and repair. With technological advancement, lingual mucosa and its engineered materials are expected to play an even broader role in urethral reconstruction and repair. This article reviews the biological characteristics, clinical applications, surgical techniques and advances in tissue engineering of lingual mucosal grafts, aiming to provide reference for clinical practice.

关键词

尿道狭窄 / 舌黏膜 / 舌黏膜代尿道成形术 / 组织工程学

Key words

urethral stricture / lingual mucosa / lingual mucosa urethroplasty / tissue engineering

引用本文

引用格式 ▾
杨昊璇,李君,唐圣,贺明阳,陈江涛,徐志杰,阚金龙,薛文勇,齐进春. 舌黏膜移植物治疗尿道狭窄的研究进展[J]. 现代泌尿外科杂志, 2026, 31(9): 877-880 DOI:10.12483/j.issn.1009-8291.202603046

登录浏览全文

4963

注册一个新账户 忘记密码

参考文献

[1]

宋鲁杰, 郝天正. 复杂性尿道狭窄的外科实践:材料、术式与理念的变迁[J]. 现代泌尿外科杂志, 2026, 31(2): 109-113, 146.

[2]

HUMBY G, HIGGINS TT. A one-stage operation for hypospadias[J]. Br J Surg, 1941, 29(113): 84-92.

[3]

CAMPOS-JUANATEY F, AZUETA ETXEBARRIA A, CALLEJA HERMOSA P, et al. Histological comparison of buccal and lingual mucosa grafts for urethroplasty: do they share tissue structures and vascular supply?[J]. J Clin Med, 2022, 11(7): 2064.

[4]

SUN H, YANG H, YANG M, et al. Follow-up and histocompatibility observation of urethral reconstruction with different materials[J]. Am J Clin Exp Urol, 2024, 12(1): 36-45.

[5]

XU YM, SA YL, FU Q, et al. Oral mucosal grafts urethroplasty for the treatment of long segmented anterior urethral strictures[J]. World J Urol, 2009, 27(4): 565-571.

[6]

VALORE EV, PARK CH, QUAYLE AJ, et al. Human beta-defensin-1: an antimicrobial peptide of urogenital tissues[J]. J Clin Invest, 1998, 101(8): 1633-1642.

[7]

HOU C, YU Z, LIU Z, et al. Impact of coverage with an acellular dermal matrix and suturing versus primary closure on tongue pain and oral morbidity after lingual mucosa harvesting for urethroplasty: a retrospective cohort study[J]. Eur Urol Open Sci, 2026(83): 109-118.

[8]

DE FARIAS RB, NETO FTL, DE AGUIAR CAVALCANTI G, et al. Evaluation of the etiological profile, age and findings in retrograde and voiding urethrocystography of men with urethral stricture[J]. Sci Rep, 2025, 15(1): 5935.

[9]

LE W, WU D, XU C, et al. Study on clinical outcomes between non-transecting urethroplasty and lingual mucosal urethroplasty for iatrogenic bulbar urethral stricture treatment[J]. Basic Clin Androl, 2023, 33(1): 12.

[10]

王建伟, 满立波, 黄广林, 等. 口腔黏膜背侧移植结合阴茎带蒂皮瓣腹侧覆盖治疗阴茎部尿道狭窄[J]. 北京大学学报(医学版), 2019, 51(4): 641-645.

[11]

司捷旻, 宋鲁杰, 金重睿, 等. 改良Kulkarni法一期舌黏膜尿道成形术治疗前尿道狭窄的疗效[J]. 中华泌尿外科杂志, 2024, 45(10): 761-766.

[12]

XU Y M, LI C, XIE H, et al. Intermediate-term outcomes and complications of long segment urethroplasty with lingual mucosa grafts[J]. J Urol, 2017, 198(2): 401-406.

[13]

HORIGUCHI A. Substitution urethroplasty using oral mucosa graft for male anterior urethral stricture disease: current topics and reviews[J]. Int J Urol, 2017, 24(7): 493-503.

[14]

HENGEL R, VANNI A, ERICKSON B, et al. Multi-institutional analysis of surgery for lichen sclerosus-induced penile urethral stricture: establishing single-stage urethroplasty as a primary treatment option[J]. J Urol, 2025, 213(5): 628-637.

[15]

OWEN K, JOE W, PALGUNADI IN, et al. A systematic review and meta-analysis of surgical approaches in pelvic fracture-associated urethral injury: primary endoscopic realignment versus delayed urethroplasty[J]. World J Urol, 2025, 43(1): 603.

[16]

吴国英, 王凯, 贺金传. 经耻骨径路治疗骨盆骨折后复杂性后尿道狭窄[J]. 中华创伤杂志, 2009, 25(3): 251-253.

[17]

SATYAGRAHA P, WIBOWO E, DARYANTO B, et al. Ten years' single surgeon experience of excision and primary anastomosis urethroplasty for traumatic urethral stricture: an analysis of risk factors for urethral stricture recurrence[J]. Arch Ital Urol Androl, 2025, 97(1): 13268.

[18]

ABIKO Y, SAITOH M, NISHIMURA M, et al. Role of β-defensins in oral epithelial health and disease[J]. Med Mol Morphol, 2007, 40(4): 179-184.

[19]

宋汶雄, 司捷旻, 叶绪晓, 等. 舌黏膜扩大尿道非离断吻合术治疗创伤后尿道狭窄的疗效[J]. 中华泌尿外科杂志, 2025, 46(2): 119-124.

[20]

MERSHON JP, BARADARAN N. Recurrent anterior urethral stricture: challenges and solutions[J]. Res Rep Urol, 2021, 13: 237-249.

[21]

许成, 宋奇翔, 朴曙光, 等. 口腔黏膜及带蒂阴茎皮瓣用于前尿道狭窄患者尿道重建的疗效分析[J]. 第二军医大学学报, 2021, 42(5): 490-494.

[22]

XU H, ZENG X, XIE L, et al. Ureteroplasty for the repair of ureteral stricture using lingual mucosa and buccal mucosa grafts: a meta-analysis[J]. Urol Int, 2025, 109(5): 533-545.

[23]

王建伟, 满立波, 徐啸, 等. 耻骨会阴联合切口后尿道吻合术治疗复杂男性骨盆骨折后尿道离断[J]. 北京大学学报(医学版), 2020, 52(4): 646-650.

[24]

ZHANG K, WANG T, CAO S, et al. Multi-factorial analysis of recurrence and complications of lingual mucosa graft urethroplasty for anterior urethral stricture: experience from a Chinese referral center[J]. Urology, 2021, (152): 96-101.

[25]

BARBAGLI G, BALÒ S, SANSALONE S, et al. Dorsal onlay graft bulbar urethroplasty using buccal mucosa[J]. African J Urol, 2016, 22(1): 5-10.

[26]

YANG K, FAN S, LI Z, et al. Lingual mucosa graft ureteroplasty for ureteral stricture: a narrative review of the current literature[J]. Ann Palliat Med, 2021, 10(4): 4840-4845.

[27]

HORIGUCHI A, KUSHIBIKI T, MAYUMI Y, et al. A hybrid combination of in vitro cultured buccal mucosal cells using two different methodologies, complementing each other in successfully repairing a stricture-inflicted human male urethral epithelium[J]. Front Urol, 2026, (5): 1720445.

[28]

JIN Y, QIN F, YANG R, et al. Dynamic microenvironment-regulated hydrogels releasing celastrol lead to urethral scarless repair[J]. Materials today Bio, 2026, (37): 102917.

[29]

陈杰, 廖成成, 赵红波, 等. 组织工程尿道支架及其制备技术在尿道重建中的应用[J]. 中国组织工程研究, 2021, 25(22): 3591-3596.

[30]

范帅帅, 王正, 冀远, 等. 脱细胞基质支架在尿道缺损修复中的应用及研究进展[J]. 国际泌尿系统杂志, 2022, 42(1): 145-148.

[31]

JIA W, TANG H, WU J, et al. Urethral tissue regeneration using collagen scaffold modified with collagen binding VEGF in a beagle model[J]. Biomaterials, 2015, (69): 45-55.

[32]

ABIKO Y, SAITOH M, NISHIMURA M, et al. Role of beta-defensins in oral epithelial health and disease[J]. Med Mol Morphol, 2007, 40(4): 179-184.

基金资助

河北省医科科学研究课题计划项目(20240110)

AI Summary AI Mindmap
PDF (948KB)

0

访问

0

被引

详细

导航
相关文章

AI思维导图

/

〈 〉