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包皮环切术,传统用间断缝合法.外用油纱环形固定治疗。我们在实践中发现本法术后易并发出血,尿液污染创口,拆线时痛苦,环扎固定易于过紧,系带容易水肿等,且疗程偏长.近年来,我们在缝合方法上作了改进,共作22例,在控制并发症和缩短疗程方面,取得了较好效果。手术步骤包皮切除之后,如图一示,在阴茎背、腹及左右两侧各缝一针作牵引,在各牵引线间,稍加牵力,使内外板对拢.然后,由内板进针外板出针,再由内板进针外板出针,稍用力拉拢,不打结,两端各留半厘米,其余剪除,两线间以同法缝合(如图二)。术后不必包扎,切口暴露,红(?)涂擦,每日两次.术后3~4日拆线.先剪断皮
Circumcision, the traditional intermittent suture method. External oil gauze ring fixation treatment. In practice, we found that this technique is prone to complicated bleeding, urine pollution wounds, pain when suture removal, easy to over-tighten the cerclage, laceration easily edema, etc., and the course of treatment is too long. In recent years, we have done in the suture method The improvement, a total of 22 cases, in the control of complications and shorten the course of treatment, and achieved good results. Surgical procedure After circumcision, as shown in the figure, the stitches are sewn at the back, abdomen and left and right sides of the penis, and a little bit of traction is applied between the pulling lines to make the inner and outer plates close together. Needle outside the plate out of the needle, and then by the inner plate into the needle outer plate, a little effort to draw, do not tie knot, both ends of each leaving half a centimeter, the other cut off, between the two lines to the same method of suture (Figure 2). No dressing after surgery, incision exposure, rubbed red (?) Twice daily after 3 to 4 days stitches. First cut the skin