爱阔尔达包茎扩张矫形器治疗小儿包茎的临床疗效观察  

Clinical efficacy of Aikuoerda orthosis treating children's phimosis

作　　者：杨斌[1] 刘晓宇[2] 胡亚楠[1] 刘风昌[1] 范林林[1] 陈海涛[1] 魏山坡[1] 

机构地区：[1]保定市儿童医院外科,河北保定071051 [2]中国人民解放军空军总医院儿科,北京100142

出　　处：《中国性科学》2013年第11期16-19,29,共5页Chinese Journal of Human Sexuality

摘　　要：目的:探讨爱阔尔达包茎扩张矫形器治疗小儿包茎的临床疗效。方法:选取从2010年10月至2013年1月间接受的226例包茎患儿,按治疗方法不同,分为爱阔尔达包茎扩张矫形器治疗法(治疗组,113例)和传统包皮口扩张法(对照组,113例),回顾性分析这两组患儿手术的时间、疼痛情况、包皮水肿及复发率。结果:治疗组113例患儿疼痛率5.3%,包皮水肿率19.5%,术后复发率8.8%,手术平均时间(1.50±0.50)min;对照组113例患儿疼痛率93.8%,包皮水肿85.8%,术后复发率28.3%,手术平均时间(2.99±0.93)min。两组患儿疗效的各项指标比较,治疗组较对照组的疼痛率、水肿率及复发率均有明显降低,两组相比较差异有显著性(P<0.05);治疗组手术时间较对照组手术时间缩短,差异有显著性(P<0.05);术后2个月治疗组治愈率和总满意度分别为100%和97.3%,均显著高于对照组(P<0.05)。结论:一次性使用包茎扩张矫形器治疗包茎具有操作简便、温和持续扩张、并发症少、生物相容性好、疗效确切等特点,是治疗小儿包茎的又一良好的非手术治疗方法。Objectives： To investigate the clinical efficacy of Aikuoerda phimesis dilatation orthosis on the treatment of phi mosis in children. Method： 226 children with phimosis presenting in our hospital are selected and divided into two groups： Aikuoerda phimesis dilatation orthosis therapy group and traditional wrapping mouth expansion group, with 113 cases in each group. The operation time, pain degree, edema of the foreskin and recurrence rates were compared and analyzed between the two groups. Results： In the treatment group, the pain rate was 5.3% ; the prepuce edema rate was 19. 5% ; the postoperative recur rence rate was 8. 8% ; and the average time of operation was 1.50 ±0. 50min. In the control group, the pain was 93.8% ; the foreskin edema rate was 85.8% ; the postoperative recurrence rate was 28.3% ; and the average time of operation was 2. 99 %0. 93rain. In the treatment group, the rates of pain, edema and recurrence decreased significantly （P 〈 0. 05） ; the operation time was shorter as well （P 〈0. 05）. The cure rate and satisfaction rate in the treatment group 2 months after operation were 100% and 97. 3%, which were both significantly higher. Conclusion： The disposable phimosis dilatation orthosis has the advantages of simple operation, mild sustained expansion, fewer complications, good biocompatibility and obvious efficacy, which is a feasible non operation treatment of phimosis in children.

关 键 词：包茎 扩张术 爱阔尔达包茎扩张矫形器 

分 类 号：R726.971.2[医药卫生—儿科]