Hoebeke P, Depauw P, Van Laecke E, Oosterlinck W
Astra Belgium, Brussels.
Acta Urol Belg. 1997 Dec;65(4):25-8.
A number of minor urological surgical procedures can be readily carried out in children in outpatient clinics with the availability of a good topical local anaesthetic. In boys, the separation of preputial adhesions, frenulotomy, meatoplasty, meatal dilatation following circumcision or meatal surgery, the removal of smegma and excision of penile skin lesions can be performed as outpatient treatment. In girls, hymenal abnormalities, meatal abnormalities and labial adhesions come into consideration for its use. Success is dependent on a good estimation of the mental capacity of the child to undergo a local surgical procedure and correct use of the anaesthetic.
在门诊诊所,只要有良好的局部外用麻醉剂,许多小儿泌尿外科小手术都可以轻松进行。对于男孩,包皮粘连分离术、系带切开术、尿道口成形术、包皮环切术或尿道口手术后的尿道口扩张、包皮垢清除以及阴茎皮肤病变切除术都可作为门诊治疗。对于女孩,可考虑用于处女膜异常、尿道口异常和阴唇粘连的治疗。手术成功取决于对患儿接受局部手术的心理承受能力的正确评估以及麻醉剂的正确使用。