应用商环外置法行儿童包皮环切术的临床研究

《临床小儿外科杂志》[ISSN:1671-6353/CN:43-1380/R] 卷: 第15卷期数: 2016年03期页码: 272-276 栏目: 论著出版日期: 2016-06-28

作者:: 朱伟超; 何建华1方立; 宁波大学医学院附属医院

关键词:: ; 包皮环切术; 男性; 包茎; 治疗; 临床研究性; 儿童

文献标志码:: A

摘要:: 目的评价商环外置法用于儿童包皮环切术的疗效及并发症情况。方法应用商环对147例包茎及包皮过长儿童进行包皮环切术，对手术时间、包皮愈合时间、背侧包皮切开率、疼痛程度、术后并发症、阴茎头分泌物及外观满意度进行观察和随访。结果手术时间为(6.20±2.14)min；包皮愈合时间(23.52±2.44)d；背侧包皮切开率95.24%(140/147)；术后1 h疼痛评分（4.61±2.44）分；拆环时疼痛评分（6.59±2.11）分；术后并发症为包皮红肿29.25% (43/147)、出血0.68%(1/147)、裂开0.68%(1/147)，包皮粘连2.72%(4/147)、切口感染0.00%(0/147)；术后外观满意度100%(147/147)。结论应用商环行儿童包皮环切术具有操作简单，手术时间短，术后并发症少，外观满意度高等优点，虽术后拆环时疼痛明显，仍是小儿包皮环切术可选择的一种手术方式。

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