[通过在包皮内板与浅筋膜之间插入一块纱布进行手术刀包皮环切术]
[Scalpel circumcision by inserting a piece of gauze between the inner prepuce and superficial fascia].
作者信息
Shi Wen-guo, Wang Xiao-jun, Liang Xiao-qin, Li Shu-qin, Huang Man-jun, Ren Shan-qing, Li Peng-fei, Liu He
机构信息
Department of Urology, Shenzhen Shuguang Hospital, Shenzhen, Guangdong 518001, China.
出版信息
Zhonghua Nan Ke Xue. 2007 May;13(5):435-9.
OBJECTIVE
To introduce the advantages of the circumcision with a scalpel by inserting a piece of gauze between the inner prepuce and superficial fascia.
METHODS
From November 2000 to March 2006, 2 100 patients with redundant prepuce, aged 6-78 years, averaging 23, were circumcised with a scalpel by inserting a piece of gauze between the inner prepuce and superficial fascia. Of all the cases, 1 799 (85.7%) were classified as Type I, 237 (11.3%) as Type II and 64 (3.0%) as Type III redundant prepuce. The mean operation time was 20 minutes (15-35 min).
RESULTS
The incisions were all healed in one stage, with good appearance, no infection and no disruption. Bleeding occurred in 12 cases 648 hours after the operation and delayed bleeding in 3 cases.
CONCLUSION
The circumcision with a scalpel by inserting a piece of gauze between the inner prepuce and superficial fascia, with easier performance, fewer complications and less bleeding, and capable of preserving more and continuous superficial fascia and giving a better appearance, well deserves to be popularized in clinical practice.
目的
介绍在包皮内板与浅筋膜间插入一块纱布行包皮环切术的优点。
方法
2000年11月至2006年3月，对2100例包皮过长患者行包皮环切术，年龄6～78岁，平均23岁。所有病例中，1799例（85.7%）为Ⅰ型，237例（11.3%）为Ⅱ型，64例（3.0%）为Ⅲ型包皮过长。平均手术时间为20分钟（15～35分钟）。
结果
切口均一期愈合，外观良好，无感染及裂开。术后6～48小时有12例发生出血，3例出现迟发性出血。
结论
在包皮内板与浅筋膜间插入一块纱布行包皮环切术，操作简便，并发症少，出血少，能保留较多的连续性浅筋膜，外观良好，值得临床推广应用。
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