局部类固醇治疗小儿包茎临床疗效分析  

Treatment of childhood phimosis with topical steroid

作　　者：孙程[1] 盛新福[1] 地里夏提[1] 王玉杰[1] 

机构地区：[1]新疆医科大学第一附属医院泌尿外科,乌鲁木齐830054

出　　处：《中华泌尿外科杂志》2007年第6期421-423,共3页Chinese Journal of Urology

基　　金：新疆维吾尔自治区科技厅特培项目（2003-01）

摘　　要：目的评价局部类固醇治疗小儿包茎的临床疗效。方法随机选取2001年10月至2003年4月门诊包茎患儿40例，年龄2～14岁，平均8．7岁。其中外口狭窄型15例、粘连型25例，粘连分级Ⅰ级9例、Ⅱ级9例、Ⅲ级7例。给予0．05％倍他米松软膏，早晚各一次涂抹于包皮狭窄开口及粘连处，5d后每次用药时可轻微用力上翻包皮，1个月后门诊随访评价疗效。结果40例患儿中完全治愈26例、好转10例、无效4例，治愈率65％，总有效率90％。其中包皮粘连Ⅰ级治愈率100％、Ⅱ级78％、Ⅲ级29％，总有效率92％，包皮外口狭窄型治愈率为53％，总有效率86％。患儿治疗期间均无不良反应。结论局部类固醇治疗小儿包茎是一种安全、简便、无痛、有效的新方法。Objective To report the experience of treatment of childhood phimosis with topical steroid. Methods From October 2001 to April 2003, 40 boys with a mean age of 8.7 years who diagnosed with phimosis were treated with a topical steroid. The patients were prescribed with a 1- month course of 0.05 % betamethasone cream by applying twice per day. Results All of the 40 patients completed the treatment and were evaluated. A total of 26 boys （65 %） had a normal appearing foreskin that was easily retracted, while 4 cases the outcome was unsuccessful. Conclusions The study shows that the application of topical steroid may be an alternative for treating phimosis in children.

关 键 词：包茎 倍他米松 小儿 

分 类 号：R686[医药卫生—骨科学]