曲安奈德局部即时注射在314例激光包皮环切术的临床应用  

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作  者:李明[1] 李泽华[1] 邓颖[1] 陈碾[1] 谢红炬[1] 

机构地区:[1]南华大学附属第一医院 医疗美容科, 湖南 衡阳 421001

出  处:《医学美学美容(中旬刊)》2014年第3期425-426,共2页

摘  要:目的:研究CO2激光Colles筋膜外包皮环切术中即时注射曲安奈德,能减轻术后局部水肿及疤痕的优越性。方法:对2011年6月至2013年3月收治的724例包茎、包皮过长患者,采用CO2激光在Colles筋膜外切除过长内、外板皮肤组织,术中即时局部注射曲安奈德。术后观察阴茎水肿、伤口恢复及功能情况。结果:724例患者伤口均一期愈合,阴茎水肿程度轻微、恢复快、伤口外形美观。572例患者随访3~12个月,患者对外形、功能满意。结论: CO2激光Colles筋膜外包皮分层环切法术即时注射曲安奈德,术后恢复快、水肿轻,伤口瘢痕外形美观、功能良好,是包皮环切术一种理想的改进方法。值得临床推广。Objective To explore the superiority of reducing postoperative local edema and scar by local immediate injection of triamcinolone acetonide in cir-cumcision with CO2 laser outside of Colles fascia. Methods 724 cases with phimosis and redundant prepuces that were admitted to hospital during 2011 and 2013 were treated by the method of CO2 laser demixing circumcision. Decoherence the skin of outer plate and inner plate with CO2 laser outside the loose connective tissue of Colles fascia. Intraoperative immediate local injection of triamcinolone acetonide. Observed the situation of the edema, wound recovery and function of the penile after operation. Results The incision of all 724 patients were healing well. The patients recovery rapidly and have a aesthetic appearance. 572 cases were followed up by 3 to 12 months. The patients were satisfied with the form and function of the penile. Conclusion With the advantages of recovery rapidly ,mild edema,beautiful scar appearance, good function. It is good improved method for circumcision . Worth to spread in the clinical.

关 键 词:曲安奈德 分层包皮环切术 包皮过长 包茎 CO2激光 Colles筋膜 

分 类 号:R6[医药卫生—外科学]

 

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