应用商环外置法行儿童包皮环切术的临床研究

目的评价商环外置法用于儿童包皮环切术的疗效及并发症情况。方法应用商环对147例包茎及包皮过长儿童进行包皮环切术,对手术时间、包皮愈合时间、背侧包皮切开率、疼痛程度、术后并发症、阴茎头分泌物及外观满意度进行观察和随访。结果手术时间为(6.20±2.14)min;包皮愈合时间(23.52±2.44)d;背侧包皮切开率95.24%(140/147);术后1 h疼痛评分(4.61±2.44)分;拆环时疼痛评分(6.59±2.11)分;术后并发症为包皮红肿29.25%,(43/147)、出血0.68%(1/147)、裂开0.68%(1/147),包皮粘连2.72%(4/147)、切口感染0.00%(0/147);术后外观满意度100%(147/147)。结论应用商环行儿童包皮环切术具有操作简单,手术时间短,术后并发症少,外观满意度高等优点,虽术后拆环时疼痛明显,仍是小儿包皮环切术可选择的一种手术方式。

Pediatric circumcision of Shang Ring with flip technique

Objetive To evaluate the clinical efficacies and complications of Shang Ring for pediatric circumcision with flip technique. Methods A total number of 147 children with redundant prepuce or phimo-sis underwent circumcision with Shang Ring.The parameters included operative duration,time of wound heal-ing,incision rate of dorsal foreskin,pain score,postoperative complications,secretion of glans and satisfaction of appearance.Results The average operative duration was (6.20 ±2.14)min,average wound healing time (23.52 ±2.44)days,incision of dorsal foreskin 95.2%(140 /147),pain score (4.61 ±2.44)hours postop-eratively and (6.59 ±2.11)for ring removal.The postoperative complications included foreskin swelling (43 /147,29.3%),bleeding (1 /147,0.7%),foreskin adhesion (2 /147,1.4%)and infection (0 /147, 0.0%).And the satisfaction rate of appearance was 100% (147 /147). Conclusions Pediatric circumcision with Shang Ring is easily performed with a shorter operative duration,fewer complications and higher satisfac-tion.Despite obvious pain during ring removal,it is still an alternative circumcision in children.