Clinical analysis of modifiedcircumcision devicein thetreatment of children'sredundant prepuce
-
摘要: 目的:探讨改良包皮套扎器治疗儿童包皮过长的临床效果。方法:选取2018年7月~2018年8月在我院行改良包皮套扎器治疗儿童包皮过长266例患儿,观察手术时间、出血量、术后套扎包皮坏死时间、套扎器脱落时间、切口愈合时间及术后并发症。结果:包皮套扎器治疗儿童包皮过长的手术时间(3.11±0.61) min,出血量(0.44±0.32) mL,术后包皮坏死时间(1.14±0.30) d,套扎器脱落时间(14.86±2.42) d,包皮完全愈合时间(16.96±2.70) d,发生排尿困难占1.12%(3/266),包皮严重水肿1.12%(3/266),术后出血约(0.11±0.02) mL。结论:改良包皮套扎器治疗儿童包皮过长具有创伤小、出血少、恢复快、安全有效等临床优势,可推广其在临床中的使用。Abstract: Objective: To investigate the clinical effect of modified circumcision device in thetreatment of children'sredundant prepuce. Method: From July 2018 to August 2018, two hundred and sixty-six children with redundant prepuce who underwent modified circumcision device were reviewed retrospectively. Operation time, blood loss, postoperative ligation of foreskin necrosis, circumcision device shedding time, time of wound healing and the postoperative complications were observed. Result: The operation time for the treatment of children'sredundant prepuce was(3.11±0.61) min, and the amount of bleeding was(0.44±0.32) mL.The time of postoperative ligation of the prepuce was(1.14±0.30) d, and the time of circumcision device shedding was(14.86±2.42) d.The time of wound completely healing was(16.96±2.70) d. Difficulty of urination accounted for 1.12%(3/266), and the severe edema of prepuce was account for 1.12%(3/266).Postoperative bleeding was(0.11±0.02) mL.Conclusion: The modified circumcision device hasadvantages in the treatment ofchildren's redundant prepuce for its little trauma, little bleeding, quick recovery and high safety,so it is worthy of clinical application.
-
Key words:
- circumcision device /
- redundant prepuce /
- children
-
-
[1] 李春浩,陈美元,冯建伟,等.包皮环切缝合器与传统包皮环切术的疗效比较[J].河北医药,2015,37(15):2285-2287.
[2] 杨海生,冯辉,毛俊杰.包皮环切缝合器在儿童包皮环切术中的临床应用[J].中国医药指南,2017,15(21):60-61.
[3] 李平锋,梁宗,李晓刚,等.两种不同方法治疗小儿包皮过长并粘连的疗效评价[J].当代医学,2011,11(17):107-108.
[4] 石华,欧阳斌,柳建明,等.改良包皮环切缝合器精准治疗包皮过长的疗效比较[J].广州医药,2018,49(4):43-46.
[5] Abdur-Rahman LO,Nasir AA,Adeniran JO.Circumcision:perspective in a Nigerian teaching hospital[J].Afr J Paediatr Surg,2013,10(3):271-274.
[6] 王明和,王征夏,孙明,等.1 015例0-18岁男孩包皮形态的观察[J].中华男科学杂志,2006,12(3):249-250.
[7] Ladenhauf HN,Ardelean MA,Schimke C,et al.Reduced bacterial colonisation of the glans penis after male circumcision in children——a prospective study[J].J Pediatr Urol,2013,9(6 Pt B):1137-1144.
[8] 夏慧,吴荷花,薛康颐,等.一次性包皮切割缝合器在儿童包皮环切术中的疗效:前瞻性随机对照研究[J].南方医科大学学报,2018,38(7):884-887.
[9] Greevy C,King R,Haffejee F.Male circumcision for HIV prevention:female risk compensatory lessons in South Africa[J].AIDS Care,30(9):1083-1089.
[10] Joseph Davey DL,Wall KM,Kilembe W,et al.HIV incidence and predictors of HIV acquisition from an outside partner in serodiscordant couples in Lusaka,Zambia[J].J Acquired Immune Defic Syndr,2017,76(2):123-131.
[11] 赵永久,占鹏程,陈强,等.新型包皮套扎器行包皮环切术和传统包皮环切术的比较研究[J].中华男科学杂志,2017,23(11):1007-1013.
[12] 杜红兵,刘文泓,杨逢生,等.应用新型包皮套扎器的包皮环切术与传统包皮环切术治疗包皮过长的对比分析[J].中国实用医药,2018,13(16):36-38.
[13] Ovalle A,López PJ,Guelfand M,et al.Neonatal circumcision with local anesthesia.Results of a standardized protocol[J].Rev Chil Pediatr,2016,87(3):175-179.
[14] 杨槐,陈波特,赵永斌,等.几种包皮环切术式的临床观察比较[J].实用医学杂志,2012,28(12):1983-1985.
[15] 何文飞,张红梅,王城等.基于阴茎发育规律的儿童包皮环切术式探讨[J].临床小儿外科杂志,2018,17(5):358-361.
[16] Kaufman MR,Smelyanskaya M,Van Lith LM,et al.Adolescentsexual and reproductive health services and implicationsfor the provision of voluntary medical male circumcision:resultsof a systematic literature review[J].PLoS One,2016,11(3):0149892.
[17] 马敏,吴海啸.应用新型商环包皮环切术与传统包皮环切术治疗包皮过长的对比分析[J].中国性科学,2017,26(7):30-32.
-
计量
- 文章访问数: 482
- PDF下载数: 804
- 施引文献: 0
下载: