论文部分内容阅读
目的评价改良包皮环切术治疗包茎和包皮过长的临床效果。方法将140例传统包皮环切术加以改进,包括:⑴包皮环切后使系带处包皮呈“V”形;⑵运用手法避免损伤较大血管分支;⑶切除过程中分先后用长线固定纵行切缘及包皮中点的内外板切缘;⑷可吸收线沿包皮内外板约0.1 cm缝合切缘;⑸术后应用网状弹力裤衩及消毒液定时浸泡伤口。结果除1例出现明显包皮系带水肿外,其余139例均无切口出血、血肿,缝线术后自动脱落,切口对合整齐,无皮缘内外翻及瘢痕形成,均甲级愈合。结论改进后的包皮环切术,减少了术后并发症发生的机率,保持了原有的阴茎功能,术后不影响美观,效果良好。
Objective To evaluate the clinical effect of modified circumcision for the treatment of phimosis and prepuce. Methods 140 cases of traditional circumcision were improved, including: â ’circumcision circumcision at the wrapping was “V” shape; â’¡ manipulation to avoid damage to the larger branches of blood vessels; Line edge and the midpoint of the foreskin cut edge; ⑷ absorbable line along the foreskin within the outer plate about 0.1 cm suture margins; ⑸ postoperative mesh reticular stretch pants and disinfectant soaked wounds. Results There was no incision hemorrhage and hematoma in all the 139 cases, except one case of obvious circumcision edema. The sutures were automatically removed after operation. The incisions were neat, non-marginal, valgus and scar formation. Conclusion The improved circumcision can reduce the incidence of postoperative complications, maintain the original penile function, postoperative does not affect the appearance, the effect is good.