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作者于1991年1月～1992年1月,施行小儿包茎Z字成形术15例,取得了良好效果。临床资料一般情况本组年龄5～16岁,平均9.5岁。包皮口均有不同程度的狭窄,伴包皮龟头粘连3例,系带过短5例,包皮尿垢7例。8例有反复包皮炎病史。治疗方法常规消毒,腰俞穴麻醉或局麻。用小弯止血钳伸入包皮腔内检查有否龟头粘连,轻轻张开止血钳,扩大包皮外口,强行上翻包皮,使龟头部分或完全露出,狭窄的包皮口滑向上,在冠状沟处形成一狭窄环。在阴茎腹侧沿狭窄环做1～2cm切口,两侧做60°夹角相应长度之切口,形状如Z字形(图1);自皮下做钝性游离,然后将两个三角形皮瓣换位缝合(图2)。
The author from January 1991 to January 1992, the implementation of pediatric phimosis in 15 cases, and achieved good results. General clinical data The group aged 5 to 16 years, mean 9.5 years. Foreskin mouth have varying degrees of stenosis, with foreskin adhesions in 3 cases, lacing in 5 cases, 7 cases of foreskin urinary scale. 8 cases had a history of repeated cases of dermatitis. Treatment routine disinfection, lumbar shu point anesthesia or local anesthesia. With a small curved hemostatic forceps into the foreskin to check whether the glans adhesion, gently open the hemostatic forceps, expand the outer mouth of the foreskin, forcibly turned the foreskin, the glans partially or completely exposed, stenosis of the foreskin mouth slippery, in the coronary sulcus Department formed a narrow ring. In the penile ventral side of the narrow ring to do 1 ~ 2cm incision, both sides of the angle of 60 ° to make the appropriate length of the incision, the shape of a Z-shaped (Figure 1); since the subcutaneous blunt free, and then two triangular flap transposition Suture (Figure 2).