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目的:探讨包皮过长、包茎行包皮环切术的年龄选择。方法:研究对象为男性包皮过长、包茎患者234例,年龄8～46岁,其中包皮过长患者186例,(其中8岁到第二性征出现前110例,第二性征出现后到46岁76例)包茎患者48例(其中8岁到第二性征出现前26例,第二性征出现后到46岁22例)。共分别设两个对照组,包皮过长一组,称作A组,其中分两个小组:分别为8岁到第二性征出现前行包皮环切术的一组A1(共80例),此年龄段设一平行对照组,选择未行包皮环切术的包皮过长患者行保守观察治疗,此为C组(共30例)。第二性征出现后到46岁行包皮环切术的一组A2(共76例)。包茎一组,称作B组,其中分两个小组:分别为8岁到第二性征出现前一组B1(共26例),第二性征出现后到46岁一组B2(共22例)。A2组及B2组术中直接目测观察龟头大小与阴茎体比例关系。A1组及B1组通过术后随访龟头及阴茎体发育情况,随访至第二性征出现后龟头、阴茎体完全发育后。C组为保守观察随访至第二性征出现后龟头、阴茎体完全发育后。结论:包皮过长及包茎手术时机:包皮过长手术时机选择在第二性征出现后手术。若在8岁及第二性征出现前手术,容易失去随第二性征出现后龟头、阴茎体发育后包皮过长自愈的机会。包茎手术时机选择在8岁到第二性征出现前。如果在第二性征出现后手术,容易影响龟头和阴茎体发育,尤其是龟头。8岁前不宜行包皮环切术,严重包茎的患者可行包皮分离扩张术。
Objective: To explore the age of prepuce and circumcision of phimosis. Methods: The subjects were male mantle, phimosis in 234 cases, aged 8 to 46 years old, including 186 cases of prepuce, (of which 8 years before the second sexual characteristics appear in 110 cases, secondary sexual characteristics appear to 46 years old, 76 cases), there were 48 cases of phimosis (among them 8 years old to 26 cases before secondary sexual signs, 22 cases appeared 46 years old after secondary sexual signs). A total of two control groups were set up, the prepuce of a group, known as A group, which was divided into two groups: respectively, 8 years old to secondary sexual signs appeared before circumcision group A1 (a total of 80 cases) In this age group, a parallel control group was selected. Patients who underwent circumcision without circumcision were treated with conservative observation. This was done in group C (a total of 30 cases). A second set of A2 (76 in total) circumcised to 46 years of age after the appearance of the second character. A group of phimosis, known as the B group, which divided into two groups: a group of B1 from the age of 8 to the second sexual characteristics before appearing (26 cases), the second sexual characteristics appear to a group of B2 example). A2 group and B2 group directly observed glans surgery penis size and the relationship between the proportion of the penis. A1 and B1 were followed up glaucoma and penis development, followed up until after the second character appears glans, penis fully developed. C group for the conservative observation follow-up to the second character appears after the glans, penis fully developed. CONCLUSIONS: The prepuce and phimosis timing: the prepuce age is surgically selected after timing of the second sex. If the 8-year-old and secondary sexual characteristics before the operation, easy to lose with the second character appears after the glans, penis after the development of the foreskin is too long the opportunity to heal. Phimosis timing of surgery at the age of 8 to appear before the second sexual characteristics. If the second character appears after surgery, easy to affect glans and penis development, especially the glans. 8 years ago should not line circumcision, severe phimosis in patients with prepuce separation and expansion.