论文部分内容阅读
目的:研究小儿包皮环套术后的疗效,对其中出现的异常情况进行临床处理和经验总结。方法:收集广州市越秀区妇幼保健院近3年来4~14岁已做包皮环套术的238例患儿资料,通过术中观察和术后随访,总结其中出现异常情况的例数,以及临床处理方法。结果:(1)术中有8例因环套太大导致包皮内外板撕裂过多,无法利用包皮套住环套,临时改用传统环切法。(2)术后有5例因包皮重度红肿,延长静脉点滴抗生素数天,直至包皮水肿减轻。(3)术后有3例因环套仍然小部分粘连包皮,采取人工拆卸环套处理。(4)术后有3例较胖小儿的家长反映效果不理想,包皮去除太少,未达到预期疗效。(5)术后有5例可能因疤痕挛缩导致包皮仍然不能翻露出龟头,需要二期行包皮环切术。结论:小儿包皮环套术是一项精细的手术,术前需充分评估手术的适应证,术中需预先估计好可放环套的尺寸,术后遇有异常情况需积极应对处理。
Objective: To study the curative effect of infantile circumcision and to summarize the clinical treatment and experience of the abnormal situation. Methods: A total of 238 children with circumcision were enrolled in the Maoxi Hospital of Yuexiu District of Guangzhou City during the past 3 years. The data of 238 patients who underwent circumcision were collected through intraoperative observation and postoperative follow-up, Approach. Results: (1) 8 cases due to the ring too much lead to the foreskin inside and outside the plate tear too much, can not use the foreskin to cover the loop, the temporary use of traditional circumcision. (2) 5 cases of postoperative severe inflamed due to the foreskin, prolonged intravenous antibiotics for several days, until the foreskin edema reduced. (3) 3 cases after operation due to the loop is still a small part of adhesion foreskin, to take the manual removal of ring sets. (4) 3 cases of postoperative children than fat children to reflect the effect is not ideal, the foreskin removed too little, did not achieve the desired effect. (5) Postoperative 5 cases may be due to scar contracture caused by the foreskin is still not revealing the glans, the need for two cases of circumcision. Conclusion: Pediatric circumcision is a delicate operation. Before operation, it is necessary to fully evaluate the indications for surgery. The intraoperative need to pre-estimate the size of the extender can be placed.