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应用塑料套环切除小儿包皮是近年来引进的新术式,具有操作简单、术中出血少、无需逢合及术后护理容易等特点。1996年1月～1999年10月我科应用此术式共治疗小儿包茎、包皮过长410例,随访效果满意,现报告如下。 1 资料与方法 1.1 一般资料 本组410例患儿中,年龄最小1岁10月,最大12岁,3～7岁320例。其中包茎278例,包皮过长132例。 1.2 器械 塑料套环由硬塑料制成,分为环体和环柄两部分;环体分前缘和后缘,中间有一凹槽,环体与环柄由两点相附着。根据套环后缘直径,可分为1.3cm、1.5cm和1.7cm三种型号。 1.3 手术方法 a.患儿术前常规禁食禁饮6～8h,术前排空小便。b.氯胺酮基础麻醉后,用高效碘消毒术野皮肤,铺切口巾。c.用蚊钳撑扩包皮口,分离
The application of plastic rings to remove pediatric foreskin is a new technique introduced in recent years, with simple operation, less bleeding, no coincidence and postoperative care is easy and so on. From January 1996 to October 1999, our department applied this technique to treat infantile phimosis. There were 410 cases of redundant foreskin with satisfactory follow-up results. The report is as follows. 1 Materials and Methods 1.1 General Information The group of 410 children, the youngest 1-year-old in October, the largest 12-year-old, 3 to 7 years old in 320 cases. Including phimosis 278 cases, 132 cases of redundant foreskin. 1.2 The instrument plastic collar made of hard plastic, divided into two parts ring body and ring handle; ring body front and rear edge, the middle of a groove, the ring body and the ring from two points attached. According to the ring trailing edge diameter, can be divided into 1.3cm, 1.5cm and 1.7cm three models. 1.3 surgical methods a. Children with regular fasting forbidden to drink 6 ~ 8h, preoperative emptying urine. b. Ketamine base anesthesia, with high-iodine disinfection of wild skin, shop cut scarf. c. Use mosquito forceps to expand the foreskin mouth, separation