不同方法治疗小儿包皮过长并粘连的疗效分析  

Different procedures for redundant prepuce complicated by adherence in pediatric patients

作　　者：陈润强[1] 莫鉴锋[1] 吴小伟[1] 

机构地区：[1]清远市人民医院泌尿外科男科,511500

出　　处：《国际医药卫生导报》2012年第11期1595-1596,共2页International Medicine and Health Guidance News

摘　　要：目的探讨不同手术方法对小儿包皮过长并粘连的治疗疗效。方法选取在我院进行治疗的包皮过长并粘连患儿90例，随机分为观察组和对照组，观察组行包皮粘连分离术后再进行包皮环切术，对照组分离包皮内板与阴茎头粘连并行包皮环切术，比较治疗效果。结果观察组愈合时间为（6．92±1．83）d，对照组愈合时间为（13．66±2．31）d，观察组抗生素使用时间和术后费用明显少于对照组，拆线时，渗出明显、需高锰酸钾溶液浸泡5min、少许出血和水肿例数明显少于对照组（P〈0．05）。结论包皮粘连分离术后再进行包皮环切术，患儿痛苦小，疗效好。Objective To explore the efficacy of different surgical procedures for redundant prepuce compli- cated by adherence. Methods 90 children with redundant prepuce complicated by adherence were randomly divided into study group and control group. The study group underwent circumcision after separation of preputial adhesions, while the control group received separation of foreskin interior board with balanus and then circumcision. The efficacy was compared. Results The healing time was （ 6.92 ~ 1.83 ） d in the study group and （ 13.66 ~ 2.31 ） d in the control group. Duration of antibiotic uses was shorter and postoperative ruedical cost was less in the study group than in the control group. The number of children who occurred exudation, little hemorrhage, or edema or who needed to soak with potassium permanganate solution for 5 rain was smaller in the study group than in the control group （ P 〈 0.05 ）. Conclusions Circumcision after separation of preputial adhesions causes less pain in children and is efficacious.

关 键 词：包皮过长 粘连 包皮环切术 

分 类 号：R726[医药卫生—儿科]