Fuenfer M M, Najmaldin A
Department of Paediatric Surgery, St. Jame's University Hospital, Leeds, UK.
Eur J Pediatr Surg. 1994 Dec;4(6):370-1. doi: 10.1055/s-2008-1066138.
Paraphimosis in uncircumcised or incompletely circumcised children is a serious and painful condition requiring prompt reduction to prevent possible necrosis of the glans or urinary obstruction. Techniques described to reduce oedema distal to the constricting ring include application of ice packs, compressive elastic bandages, and making a dorsal slit which necessitates later circumcision. We have used a simple "puncture" technique to treat successfully an uncircumcised 12-year-old boy with severe paraphimosis. An 18 gauge hypodermic needle was used to puncture the oedematous foreskin at multiple sites, followed by gentle manual compression. This resulted in rapid diminution of the swelling, permitting easy manual reduction of the prepuce. Circumcision can then be performed if so desired.
未行包皮环切术或包皮环切不完全的儿童发生嵌顿包茎是一种严重且疼痛的病症，需要迅速复位以防止龟头可能出现坏死或尿路梗阻。为减轻狭窄环远端水肿所描述的技术包括应用冰袋、加压弹性绷带，以及做背侧切口，而这需要后期进行包皮环切术。我们采用一种简单的“穿刺”技术成功治疗了一名患有严重嵌顿包茎的12岁未行包皮环切术男孩。使用一根18号皮下注射针在多个部位穿刺水肿的包皮，随后轻轻手动加压。这使得肿胀迅速减轻，从而能够轻松手动复位包皮。如果有需要，随后可进行包皮环切术。
