保留皮下血管网精细化包皮环切术的疗效观察  

Observation on the Effect of Fine Circumcision with Preservation of Subcutaneous Vascular Network

作　　者：张思娅[1] 颜彤彤 贾玉磊 侯俊杰 毛运春[1] ZHANG Siya;YAN Tongtong;JIA Yulei;HOU Junjie;MAO Yunchun(Medical Cosmetic Center,Beijing Friendship Hospital,Capital Medical University,Beijing 100050,China;Department of Plastic Surgery,Beijing Shijitan Hospital,Capital Medical University,Beijing 100038,China)

机构地区：[1]首都医科大学附属北京友谊医院医学美容中心,北京100050 [2]首都医科大学附属北京世纪坛医院整形外科,北京100038

出　　处：《中国美容医学》2022年第12期27-29,共3页Chinese Journal of Aesthetic Medicine

摘　　要：目的:探讨保留皮下血管网的精细化包皮环切术的手术方法及临床效果。方法:2016年8月-2021年10月,对262例包皮过长患者实施保留皮下血管网的精细化包皮环切术,去皮范围位于包皮远端,完整保留皮下血管网。记录患者的手术时长、术中出血量、术后并发症发生情况、包皮水肿消退时间、外观及性生活满意度。结果:本组3例患者术后出现切口愈合不良(发生率1.15%),经换药后均完全愈合;其余患者术后均无出血、血肿、感染、切口裂开等并发症。术后3个月电话随访,阴茎外形自然,瘢痕不明显,性生活满意。结论:保留皮下血管网的精细化包皮环切术是一项安全且有效的包皮环切方法,值得推广。Objective To explore the application of fine circumcision with preservation of subcutaneous vascular network.Methods From August 2016 to October 2021,two hundred and sixty-two patients with redundant prepuce were treated by a fi ne circumcision with preservation of subcutaneous vascular network.The peeling range was located at the distal end of the foreskin,and the subcutaneous vascular network was completely preserved.The operation time,intraoperative blood soss,postoperative complications,the time of detumescence,appearance and sexual satisfaction were retrospectively analyzed.Results 3 patients(1.15%)with poor wound healing were completely healed with disinfecting the wound.Other patients were healed with no severe complications such as bleeding,infection and poor wound healing.Telephone follow-up was conducted 3 months after the surgery,and all patients were satisfi ed with the appearance of the prepuce and sexual life.Conclusion The fi ne circumcision with preservation of subcutaneous vascular network is a safe and ef fective method of circumcision,which is worthy of promotion.

关 键 词：包皮过长 包皮环切术 包皮内板 皮下血管网 性传播疾病 

分 类 号：R699.8[医药卫生—泌尿科学]