包皮环切术——一种实现不同美容效果的新方法。
Circumcision - A new approach for a different cosmetic result.
作者信息
Tsikopoulos G, Asimakidou M, Smaropoulos E, Farmakis K, Klokkaris A
机构信息
Paediatric Surgery Department, Hippokration General Hospital of Thessaloniki, Thessaloniki, Greece.
出版信息
Hippokratia. 2014 Apr;18(2):116-9.
AIM
To assess the difference in aesthetic result after a non-religious circumcision with classic Johnston's technique and a new proposed technique.
MATERIALS AND METHODS
A total of 76 children were circumcised (not for religious purposes) in a period of 6 years using the classic Johnston's technique (50 patients) and a new proposed technique (26 patients). Parents of circumcised children were interviewed three months after the operation. The aesthetic result was scored by both the parents and the patients as bad, acceptable, good or very good. Scores between the two groups were compared.
RESULTS
No major complications were encountered. The aesthetic result score between the two groups had a statistically significant difference (Mann Whitney U Test, p<0.0005). Children being circumcised with the new technique and their parents were more satisfied with the aesthetic result three months after the operation.
CONCLUSIONS
In communities in which religious circumcisions are being performed relatively rare, the aesthetic result of a classic method may seem awkward to the patient and his family. Therefore, circumcision being performed for non religious reasons necessitates an acceptable aesthetic result. Our technique fulfills this prerequisite. Hippokratia 2014; 18 (2):116-119.
目的
评估采用经典约翰斯顿技术进行的非宗教性包皮环切术与一种新提出的技术在美学效果上的差异。
材料与方法
在6年时间里，共76名儿童接受了包皮环切术（非出于宗教目的），其中50例采用经典约翰斯顿技术，26例采用新提出的技术。对接受包皮环切术儿童的家长在术后3个月进行访谈。家长和患儿对美学效果的评分分为差、可接受、好或非常好。比较两组评分。
结果
未出现重大并发症。两组之间的美学效果评分存在统计学显著差异（曼-惠特尼U检验，p<0.0005）。采用新技术进行包皮环切术的儿童及其家长对术后3个月的美学效果更满意。
结论
在相对较少进行宗教性包皮环切术的社区，经典方法的美学效果对患者及其家人来说可能显得不佳。因此，出于非宗教原因进行包皮环切术需要有可接受的美学效果。我们的技术满足了这一先决条件。《希波克拉底》2014年；18（2）：116 - 119。
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