应用商环行小儿改良包皮环切术800例治疗体会  

Experience in modified circumcision by Shang ring for children in 800 cases

作　　者：曾乐祥[1] 邓小耿[1] 伍耀豪[1] 张杰[1] 周嘉嘉[1] 邱荣林[1] 

机构地区：[1]中山大学孙逸仙纪念医院小儿外科,广州510620

出　　处：《岭南现代临床外科》2014年第5期590-592,共3页Lingnan Modern Clinics in Surgery

摘　　要：目的探讨应用商环行改良包皮环切术的临床效果。方法应用商环行改良性包皮环切术,用3把血管钳提起包皮口,将商环内环倾斜塞入龟头与包皮内板之间,再将商环外环套于包皮外板外并卡紧,对800例患儿行包皮环切术,分析其手术时间、出血量、脱环时间、术后并发症、术后外观满意情况。结果手术时间为4.65±1.25 min,平均出血量<3 mL,术后并发症主要为感染0.50%(4/800)、包皮明显水肿3.12%(25/800)、伤口裂开0.25%(2/800)、伤口出血0.25%(2/800),脱环时间14±5 d,术后再粘连2.25%(18/800),外观满意率达99.38%(795/800),98.13%(785/800)的家长觉得治疗费用合理。结论应用商环行小儿改良包皮环切术,手术时间短、出血量少、术后并发症少、外观满意率高,是治疗小儿包茎、包皮过长的良好方法,具有优势。Objective To explore the clinical effect of modified by Shang Ring Circumcision. Methods 800 cases were included in this study. We used 3 vascular clamps to lift preputial orifice, inserted the inner ring between the balanus and the inner prepuce, then the outer ring was sleeved on the outer prepuce and clamping. The operation time, blood loss, doffing ring time, complications, appearance satisfaction were analyzed. Results The operation time was 4.65±1.25 min, the amount of bleeding 0.80±0.65 ml, the postoperative complications included infection 0.50% （4/800）, foreskin edema 3.12% （25/800）, wound dehiscence 0.25% （2/800）, wound bleeding 0.25% （2/800）, the doffing time was 14±5 d, the rate of postoperative adhesions was 2.25%（18/800）, 99.38% （795/800） were satisfied with the appearance and 98.13% （785/800） parents feel for reasonable expenses. Conclusion The application of modified by Shang Ring Circumcision has a series of advantages, such as short operation time, less bleeding, less complications and the high satisfaction rate of appearance, is a good method for the treatment of phimosis and redundant prepuce in children.

关 键 词：改良包皮环切术 商环 塞环 脱环 

分 类 号：R699.8[医药卫生—泌尿科学]