共查询到19条相似文献,搜索用时 437 毫秒
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目的 探讨阴攀中部无针麻醉袖套式包皮环切治疗包皮过长的效果.方法 选择包皮过长患者105例,随机分成A,B两组,A组40例,行阴茎中部无针麻醉袖套式包皮环切术,8组40例行传统阻滞麻醉及背侧切开环切术.对两组在麻醉剂量、起效时间、视觉模拟麻醉疼痛评分、出血量、水肿、切口愈合、外观满意度等方面进行比较.结果两组所有对比项... 相似文献
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改良袖套式包皮环切术治疗包皮过长及包茎 总被引:26,自引:2,他引:26
目的:探讨改良袖套式包皮环切术治疗包皮过长及包茎患者的方法和效果。方法:采用改良袖套式包皮环切术治疗包皮过长及包茎患者65例。术中先标志包皮切除长度,在直视睛于包皮内、外板作两个互相平行的环形切口,将两切口间包皮条用小圆头刀锐性剥离,保留完整肉膜及皮下浅层血管,并保留完整的包皮系带。结果:65例术中出血极少,切口整齐,术后伤口无水肿,无继发性出血及感染,均一期愈合,切口瘢痕少,阴茎外形美观。结论:改良袖套式包皮环切术对包皮过长及包茎患者治疗效果满意。 相似文献
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目的:探讨电切法袖套式包皮环切术治疗包皮过长与包茎患者的安全性与疗效。方法:采用电切法袖套式包皮环切术治疗包皮过长与包茎患者200例,分析手术效果、并发症及其预防措施。结果:200例电切法袖套式包皮环切术出血少、切缘整齐,术后包皮水肿轻微,切口均一期愈合,瘢痕少,阴茎外观满意。结论:电切法袖套式包皮环切术治疗包皮过长与包茎患者效果满意,并发症少,值得临床推广。 相似文献
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目的:比较传统包皮环切术、袖套状包皮切除术和包皮环切吻合术治疗包皮过长或包茎患者的临床疗效。方法:回顾性分析我院泌尿外科门诊采用传统包皮环切术(n=279)、袖套状包皮切除术(n=354)和包皮环切吻合术(n=285)治疗包茎或包皮过长918例患者的临床资料,比较3种术式手术时间、术中出血量、手术者对手术的满意度、术后4 h和7 d视觉模拟疼痛评分、术后并发症、创口完全愈合时间、包皮水肿程度、患者对术后外观的满意程度及围手术期费用等指标。结果:包皮环切吻合术在手术时间和术中出血量等方面要优于袖套状包皮切除术和传统包皮环切术(P<0.05)。传统包皮环切术、袖套状包皮切除术和包皮环切吻合术的创口完全愈合时间分别为(18.6±5.2)d、(11.4±3.7)d、(20.3±5.7)d,表明袖套状包皮切除术创口完全愈合时间明显优于传统包皮环切术和包皮环切吻合术(P<0.05)。袖套状包皮切除术在手术者对手术的满意度、术后水肿程度、术后并发症以及患者对外观的满意度等方面与包皮环切吻合术相似,但要优于传统包皮环切术(P<0.05)。传统包皮环切术和袖套状包皮切除术在术后7 d视觉疼痛模拟评分和围手术期费用上明显低于包皮环切吻合术(P<0.05)。结论:3种术式各有优缺点,最终的术式选择需根据患者的年龄、经济承受能力和手术者对不同术式的手术技巧差异和熟悉程度等多方面来考虑。 相似文献
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目的:比较分析应用一次性包皮环切缝合器与袖套包皮环切术的临床疗效和手术并发症。方法:106例包皮过长(或包茎)患者按手术日期单双号分为一次性包皮环切缝合器组(50例)与袖套式包皮环切术组(56例)。比较两组患者的手术时间、术中出血量、术中疼痛程度、术后疼痛程度、切口愈合情况及术后并发症。结果:一次性包皮环切缝合器组与袖套式包皮环切术组手术时间分别为(31.38±2.93)min和(11.82±1.96)min;术中出血量分别为(1.14±0.94)ml和(7.89±2.31)ml;术中疼痛评分分别为(0.80±0.70)分和(3.02±1.22)分;术后24小时疼痛评分分别为(1.90±0.80)分和(4.45±1.03)分;术后并发症发生率分别为4.0%(2/50)和17.87%(10/56);切口愈合时间分别为(14.06±1.15)d和(14.39±1.57)d;外观满意率分别为98%(49/50)和83.93%(47/56)。与袖套式包皮环切组相比,一次性包皮环切缝合器组手术时间短、失血量少、术中及术后患者痛苦小、外观满意率高且并发症发生率低(P0.05),术后伤口愈合时间差异无统计学意义(P0.05)。结论:应用一次性包皮环切缝合器是对袖套式包皮环切术的改进及创新,具有患者手术效果好、并发症发生率低、患者满意度高及易于接受等优势。 相似文献
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<正>包皮环切术是泌尿男科门诊最常见的手术之一,常用的手术方式为袖套式包皮环切术。2009年9月至2012年1月,笔者医院对400例包皮过长和包茎患者使用高频电刀行袖套式包皮环切术,效果满意,报告如下。1资料与方法1.1一般资料本组400例患者,其中包皮过长 相似文献
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目的观察瑞芬太尼复合咪达唑仑用于肿胀麻醉法脂肪抽吸术中的镇静镇痛效果。方法选择肿胀麻醉法行腹部脂肪抽吸术的患者30例,ASAⅠ~Ⅱ级。所有患者在肿胀麻醉前5min静脉推注咪达唑仑0.3mg/Kg和瑞芬太尼负荷剂量0.6μg/Kg(推注时间30s),之后静脉泵入瑞芬太尼0.1~0.3μg/Kg·min维持。记录患者在麻醉前(T0)、注射肿胀液前即刻(T1)、注射肿胀液时(T2)、脂肪抽吸时(T3)、手术结束时(T4)、术后30min时(T5)的Ramsay镇静评分和VAS痛觉模拟评分;观察患者在麻醉和手术过程中的血流动力学改变以及不良事件发生情况。结果所有患者在T1至T5时,VAS痛觉模拟评分均小于5分。与T0比较,T1时患者Ramsay镇静评分、心率(HR)、收缩压(SBP)、舒张压(DBP)均升高(P<0.05),呼吸频率(RR)降低(P<0.05);T2至T5时,上述指标无明显改变(P>0.05)。本组中有2例患者出现嗜睡和呼吸抑制(RR<8次/分),血氧饱和度(SpO2)最低降至90%,经指令性通气和减少瑞芬太尼用量后SpO2迅速恢复。结论瑞芬太尼复合咪达唑仑用于肿胀麻醉法脂肪抽吸术,能起到良好的镇静镇痛作用,术后恢复时间短,适合在日间脂肪抽吸术中推广应用。 相似文献
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目的:比较改良袖套式包皮环切术与传统包皮环切术治疗小儿包茎的临床效果,为小儿包茎的治疗寻找一种更为合理的手术方式。方法:选取160例2~7岁的包茎患儿随机分为两组。观察组:80例,采用改良袖套式包皮环切术;对照组:80例,采用传统包皮环切术。改良术式主要包括异丙酚芬太尼复合罗哌卡因局部麻醉、包皮狭窄口背侧松解、包皮内板解剖定位及由内板向外板环形袖套式剥除法,对两组的手术时间、愈合时间、出血量、术后疼痛时间、术后并发症(水肿、血肿及外观差)进行比较。结果:观察组平均手术时间为(25.4±2.3)min,愈合时间为(5.5±1.5)天;对照组平均手术时间为(24.6土5.2)min,愈合时间为(5.8±2.0)天,两组比较差异不显著(均P0.05)。观察组的平均出血量为(1.0土0.6)ml,术后疼痛时间(3±2.4)h;对照组的平均出血量为(4.5±0.8)ml,术后疼痛时间(16±5.8)h,两组比较差异显著(均P0.05)。观察组术后出现血肿、水肿及外观差的并发症明显较对照组减少,两组差异显著(均P0.05)。结论:经改良后的袖套式包皮环切术易于掌握、术后效果良好、并发症少,更适合于小儿包茎的治疗,值得在临床上推广。 相似文献
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Bussolin L Serio P Busoni P Schiatti R Salvadori M 《Anaesthesia and intensive care》2010,38(6):1008-1012
The aim of the study was to assess the changes in plasma lignocaine concentrations over time when the tumescent solution is injected into subcutaneous tissue of children undergoing surgical treatment of burns. Sixteen consecutive children with burns were studied using a prospective study design. After induction of general anesthesia, tumescent lignocaine solution 0.1% with adrenaline in nine patients (adrenaline group) for the treatment of postburn sequelae, or without adrenaline in seven patients (no-adrenaline group) for the treatment of acute burns, was injected into the subcutaneous tissue of burned and donor areas. The maximum dose of lignocaine was 7 mg/kg. Blood samples were collected before the start of the injection as well as at 5, 10, 20, 30, 45, 60, 90 minutes and 2, 4, 8, 12, 24 hours after the infiltration was completed. The course of lignocaine plasma levels was chaotic in the adrenaline group and biphasic during the first hour in the no-adrenaline group. The maximum plasma concentration of lignocaine was 2.09 microg/ml in the adrenaline group and 1.98 microg/ml in the no-adrenaline group. No adverse reactions were noted. Tumescent injection in burned children resulted in lignocaine plasma concentrations that were always lower than the often quoted value of 5 microg/ml, considered to be the toxic plasma threshold in adults. These data lend support to the use of lignocaine using the tumescent technique in burned paediatric patients. 相似文献
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局部浸润联合肿胀麻醉在隆乳术中的应用 总被引:4,自引:3,他引:1
目的:探讨局部浸润联合肿胀麻醉方法在隆乳术中的应用效果。方法:用此麻醉方法为156例受术者行隆乳手术,根据胸部神经、肌肉的解剖特点,行合理的分布药量和准确有效的注射。结果:156例隆乳术者,此麻醉方法均有效,且麻醉效果良好,无一例受术者因分离腔穴时产生疼痛而影响手术操作或停止手术。结论:此麻醉效果理想可靠,方法简单易行,适用于任何术式的隆乳术。而在分离腔穴时产生的疼痛主要是因注射层次不当和药量分布不均所致,与麻醉方法无关;其麻醉效果与假体置入层次或乳腺胸大肌是否发达无因果关系。 相似文献
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肿胀麻醉吸脂塑身术对高龄肥胖者的应用研究 总被引:1,自引:0,他引:1
目的:探讨适合于高龄人群的安全简便、恢复快的减肥塑身方法。方法:对400例高龄妇女采用肿胀麻醉吸脂塑身术进行治疗,并对其身体局部解剖、心理状态,以及手术方法与并发症、远期疗效等进行研究分析。术中选取隐蔽切口,在抽吸脂肪层中注入含有2%利多卡因、1%肾上腺素和生理盐水的肿胀液。双手配合、分层、扇形、隧道式抽吸。结果:肿胀麻醉吸脂塑身术对高龄人群瘦体减肥效果满意,体重减轻3.5~5kg,腹围减少4~18cm,腰围减少5~8cm,臀围减少6~16cm,体形变美、无反弹。同时血脂、胆固醇比术前都降低1~2mmol/L。结论:该手术方法适用于55~70岁的高龄人群,不仅简便、安全,体形重塑效果好,而且还有益于健康,值得推荐。 相似文献
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Power Liposuction: A Report on Complications 总被引:2,自引:0,他引:2
Bruce E. Katz MD † Michael C. Bruck MD †‡ Lauren Felsenfeld BA † Kathryn E. Frew MD † 《Dermatologic surgery》2003,29(9):925-927
BACKGROUND: Liposuction is the most commonly performed cosmetic surgical procedure in the United States. Traditional liposuction (TL) performed under general anesthesia has been associated with reports of major systemic complications, including death. When TL is performed using only tumescent anesthesia, there have been no reported deaths and few significant systemic complications. Power liposuction (PL), a newer procedure in which a reciprocating cannula is used to evacuate fat, has reported benefits over TL. OBJECTIVE: To determine the complication rate associated with PL and to compare it with TL (regardless of the type of anesthesia). METHODS: In this study, 207 consecutive PL cases performed with tumescent anesthesia between August 2000 and May 2002 by a dermatologic surgeon (B.K.) and a plastic surgeon (M.B.) were reviewed retrospectively to determine the number of complications associated with the PL procedure. RESULTS: No systemic complications were identified, and only three local complications (all seromas) were found. This represents a complication rate of 1.4%. CONCLUSION: Our results demonstrate fewer complications when performing PL using tumescent anesthesia compared with TL using general anesthesia. When compared with TL using tumescent anesthesia, the overall complication rate did not differ significantly. We conclude that in addition to PL previously demonstrated benefits, the complication profile compares favorably with TL under local tumescent anesthesia. Therefore, PL may assume a more prominent role in the armamentarium of the surgeon performing liposuction. 相似文献
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介绍隆乳术局麻新方法。应用0.08%以下浓度的利多卡因麻药混合液对胸大肌后间隙的”隆乳平面”进行肿胀局麻,54例均获得较理想的麻醉效果。指出与隆乳手术剥离层次无关的组织不予麻醉,单纯对胸大肌后间隙进行肿胀局麻是隆乳术有效的局麻方法。 相似文献