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包皮环切术为外科门诊常见手术,但术后易出现一些并发症.作者近2年来共施行包皮环切术24例,术中均用借结止血法及切口用地塞米松、庆大霉素混合液冲洗法,对预防术后渗血、水肿等并发症发生,效果满意.本组24例,年龄13岁~62岁,平均35岁,其中成年人包皮过长21例,包茎3例.手术方法为常规消毒,铺无菌洞巾,作阴茎根部阻滞麻醉,用龙胆紫标出皮肤切口线,环线切除过长的包皮,向阴茎根部推开内外板,敞开创面,用蚊式钳钳夹明显的出血点,不结扎,查无活动性出血,用注射器抽吸地塞米松10mg与庆大霉素24万U的混合液,摇匀后均匀冲洗切口内的粘膜肌肉组织,用0号丝线间断缝合内外板,近钳夹之出血点处,提起蚊式钳,将出血点套入缝线结内扎紧,即借用切口皮肤缝线结扎皮下出血点,如此缝合一周,但缝合包皮背侧及系带处
Surgical circumcision is a common surgical outpatient clinic, but some complications are easy to occur after operation. In the past 2 years, a total of 24 cases of circumcision were performed. All patients were treated with dexamethasone, gentamicin Mixture of washing method, to prevent postoperative bleeding, edema and other complications occurred, with satisfactory results in this group of 24 patients, aged 13 to 62 years, mean 35 years, of which 21 cases of adult prepuce, phimosis in 3 cases. Surgical methods for routine disinfection, sterile sterile towel shop, as the root of the penis block anesthesia, with gentian violet skin incision line, loop removal of the foreskin is too long, open the inner and outer plates to the penis, open the wound, with a mosquito Clamps obvious clamp bleeding points, no ligation, check for no active bleeding, syringe dexamethasone 10mg and gentamicin 240000 U of the mixture, shake evenly washed incision mucosal muscle tissue, with 0 silk interrupted sutures both inside and outside the plate, near the clamp of the bleeding point, the mosquito forceps, the bleeding point nested within the suture knot tightness, that is borrowed incision skin suture ligation of subcutaneous bleeding, so a week, but the suture Foreskin dorsal and lace Department