Lim A, Saw Y, Wake P N, Croton R S
Department of General Surgery, Warrington District General Hospital, Cheshire, UK.
Br J Urol. 1994 Apr;73(4):428-30. doi: 10.1111/j.1464-410x.1994.tb07609.x.
To see if a eutectic mixture of local anaesthetics (EMLA) could be used effectively for the release of preputial adhesions as a day case procedure.
A total of 36 consecutive symptomatic children had their preputial adhesions separated under local anaesthetic with EMLA.
The procedure was successful in 27 children. Of these, 16 remained symptom free at 9 to 12 months follow up although five children had slight recurrence of adhesions. The other 11 children were listed for circumcision at 2 weeks following the procedure because of marked recurrence of adhesions.
EMLA cream is a good alternative to general anaesthetics in the separation of preputial adhesions. The technique is operator-dependent and better results were obtained when one person was using it regularly. Separation of adhesions is a worthwhile procedure in boys with symptomatic non-retractile foreskins.
探讨局部麻醉剂的共熔混合物（EMLA）能否作为日间手术有效地用于分离包皮粘连。
连续36例有症状的儿童在局部麻醉下使用EMLA分离包皮粘连。
该手术在27例儿童中成功。其中，16例在9至12个月的随访中无症状，尽管有5例儿童粘连稍有复发。另外11例儿童在手术后2周因粘连明显复发而被列入包皮环切术名单。
EMLA乳膏在分离包皮粘连方面是全身麻醉的良好替代方法。该技术依赖于操作者，由一人定期使用时效果更佳。对于有症状的不能上翻包皮的男孩，粘连分离是一项值得进行的手术。
