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自1994年以来,我院将传统的包皮环切术予以改良,经临床证实效果良好。 临床资料:本组208例,年龄14～58岁,其中包皮过长者152例、包茎者56例。将208例随机分为两组,一组采用传统的包皮环切术(对照组),另一组采用改良后术式(观察组)。改良术式:将阴茎根部神经阻滞麻醉,于冠状沟下0.3cm,平行于冠状沟切开包皮外板,游离阴茎背浅静脉及两侧3～5条小静脉,切断后用5—0肠线结扎,提起包皮内板及内外板间组织,距冠状沟约0.5cm处剪除,因血管已结扎,创面出血很少,稍加压即可完全止血。将包皮内外板切缘对合整齐,用5—0肠线连续缝合,以凡士林纱布覆盖切口,敷料环形稍加压包扎。24小时
Since 1994, our hospital will be the traditional circumcision to be improved, clinically proven effective. Clinical data: The group of 208 cases, aged 14 to 58 years old, including 152 cases of prepuce, phimosis in 56 cases. 208 patients were randomly divided into two groups, one with conventional circumcision (control group) and the other with modified operation (observation group). Modified surgical approach: the penile nerve root block anesthesia, in the coronal groove 0.3cm, parallel to the coronary sulcus cut the foreskin outer plate, the free dorsal superficial vein and on both sides of 3 to 5 small veins, cut with 5-0 Gut ligation, lift the foreskin and internal and external plate between the plate, about 0.5cm away from the coronary cortex at the cut, due to vascular ligation, wound bleeding rarely, a little pressure can be completely stop bleeding. The foreskin inside and outside the plate cut edge on the neat, with 5-0 catgut continuous suture to vaseline gauze incision, dressing ring slightly pressure dressing. 24 hours