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学科主题: 临床医学
题名:
Changing trends in the causes and management of male urethral stricture disease in China: an observational descriptive study from 13 centres
作者: Xu, Yue-Min1; Song, Lu-Jie1; Wang, Kun-Jie2; Lin, Jian3; Sun, Guang4; Yue, Zhong-Jin5; Jiang, Hai6; Shan, Yu-Xi7; Zhu, Shao-Xing8; Wang, Yu-Jie9; Liu, Zhi-Ming10; Li, Zhen-Hua11; Liu, Zhong-Hua12; Chen, Qing-Ke13; Xie, Min-Kai1
关键词: urethral stricture disease ; causes ; treatment ; Chinese population
刊名: BJU INTERNATIONAL
发表日期: 2015-12-01
DOI: 10.1111/bju.12945
卷: 116, 期:6, 页:938-944
收录类别: SCI
文章类型: Article
WOS标题词: Science & Technology
类目[WOS]: Urology & Nephrology
研究领域[WOS]: Urology & Nephrology
关键词[WOS]: URETHROPLASTY ; UROLOGISTS ; ETIOLOGY
英文摘要:

Objective

To determine whether there have been any changes in the causes and management of urethral strictures in China.

Patients and Methods

The data from 4 764 men with urethral stricture disease who underwent treatment at 13 medical centres in China between 2005 and 2010 were retrospectively collected. The databases were analysed for the possible causes, site and treatment techniques for the urethral stricture, as well as for changes in the causes and management of urethral strictures.

Results

The most common cause of urethral strictures was trauma, which occurred in 2 466 patients (51.76%). The second most common cause was iatrogenic injures, which occurred in 1 643 patients (34.49%). The most common techniques to treat urethral strictures were endourological surgery (1 740, 36.52%), anastomotic urethroplasty (1 498, 31.44%) and substitution urethroplasty (1 039, 21.81%). A comparison between the first 3 years and the last 3 years showed that the constituent ratio of endourological surgery decreased from 54% to 32.75%, whereas the constituent ratios of anastomotic urethroplasty and substitution urethroplasty increased from 26.73% and 19.18% to 39.93% and 27.32%, respectively (P < 0.05).

Conclusions

During recent years, there has been an increase in the incidence of urethral strictures caused by trauma and iatrogenic injury. Endourological urethral surgery rates decreased significantly, and open urethroplasty rates increased significantly during the last 3 years.

语种: 英语
WOS记录号: WOS:000364334900023
Citation statistics:
内容类型: 期刊论文
URI标识: http://ir.bjmu.edu.cn/handle/400002259/50890
Appears in Collections:北京大学第一临床医学院_期刊论文

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作者单位: 1.Peoples Hosp Qinghai Prov, Xining, Qinhai Province, Peoples R China
2.Peking Univ, Hosp 1, Beijing 100871, Peoples R China
3.Tianjin Med Univ, Hosp 2, Tianjin, Peoples R China
4.Lanzhou Univ, Hosp 2, Lanzhou 730000, Gansu, Peoples R China
5.Shanghai Jiao Tong Univ, Affiliated Peoples Hosp 6, Dept Urol, Shanghai 200233, Peoples R China
6.Sichuan Univ, West China Hosp, Chengdu 610064, Sichuan Provinc, Peoples R China
7.Zhejiang Univ, Sch Med, Affiliated Hosp 1, Hangzhou 310003, Zhejiang, Peoples R China
8.Soochow Univ, Affiliated Hosp 2, Suzhou, Jiangsu, Peoples R China
9.Fujian Med Univ, Affiliated Union Hosp, Fuzhou, Fujian, Peoples R China
10.Xinjiang Univ, Affiliated Hosp 1, Sch Med, Urumqi, Xinjiang Uygur, Peoples R China
11.China Med Univ, Affiliated Hosp 1, Shenyang 110001, Liaoning, Peoples R China
12.Peoples Hosp Henan Prov, Zhengzhou, Henan Province, Peoples R China
13.Nanchang Univ, Affiliated Hosp 1, Nanchang, Jiangxi, Peoples R China

Recommended Citation:
Xu, Yue-Min,Song, Lu-Jie,Wang, Kun-Jie,et al. Changing trends in the causes and management of male urethral stricture disease in China: an observational descriptive study from 13 centres[J]. BJU INTERNATIONAL,2015,116(6):938-944.
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