[包皮环切吻合器在小儿包茎及包皮过长治疗中的应用]
[Circumcision anastomat in the treatment of phimosis and redundant prepuce in children].
作者信息
Li Xing-Hua, Zheng Shao-Bin
机构信息
Department of Urology, Nanfang Hospital, Southern Medical University, Guangzhou, Guangdong 510515, China.
出版信息
Zhonghua Nan Ke Xue. 2011 Jun;17(6):542-5.
OBJECTIVE
To summarize the experience in the application of circumcision anastomat in the treatment of phimosis and redundant prepuce in children.
METHODS
A total of 551 children with phimosis or redundant prepuce were treated by circumcision from 2008 to 2010, 342 with circumcision anastomat and the other 209 by traditional circumcision. Their clinical data were retrospectively analyzed.
RESULTS
Compared with traditional circumcision, circumcision with the anastomat showed the advantages of less operation time (P < 0.05), fewer complications, no need for dressing, and better cosmetic appearance, but it also exhibited the disadvantages of longer healing time (P < 0.05) and more obvious postoperative pain (P < 0.05).
CONCLUSION
Circumcision with the anastomat and traditional circumcision for the treatment of phimosis and redundant prepuce in children each have their own advantages and disadvantages, but the former is more advantageous and more feasible clinically.
目的
总结包皮环切吻合器在小儿包茎及包皮过长治疗中的应用经验。
方法
回顾性分析2008年至2010年采用包皮环切术治疗的551例包茎或包皮过长患儿的临床资料，其中342例采用包皮环切吻合器手术，209例采用传统包皮环切术。
结果
与传统包皮环切术相比，包皮环切吻合器手术具有手术时间短（P<0.05）、并发症少、无需换药、外观美观等优点，但愈合时间长（P<0.05）、术后疼痛更明显（P<0.05）。
结论
包皮环切吻合器与传统包皮环切术治疗小儿包茎及包皮过长各有优缺点，但前者在临床应用中更具优势且更可行。
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