摘要
目的 介绍阴茎根部皮肤环切术治疗包皮过长的效果。 方法 手术适应证 :包皮过长和不完全包茎者 (包皮能外翻 ,但感觉紧 ,尤其在阴茎勃起时 )。患者自愿选择术式 ,2 5 6例 (A组 )包皮过长和不完全包茎患者施行阴茎根部皮肤环切术。通过切除一段阴茎根部皮肤再缝合 ,使其远端皮肤向近端滑移 ,从而上翻包皮。同期的 2 6 5例 (B组 )行传统的包皮环切术。对两组术中出血量、术后创口出血、血肿、水肿、疼痛、感染等并发症进行比较。 结果 A组术中出血量为 (3± 1)ml,B组为 (10± 2 )ml (t=- 5 0 .36 ,P <0 .0 0 1) ;A组术后疼痛持续时间为 (16± 4 )h ,B组为 (48± 16 )h(t=- 31.0 7,P<0 .0 0 1) ;A组术后发生创口水肿者 3例 ,伴出血、血肿者 2例 ,发生局部感染者 1例。B组术后创口出血、血肿 5 2例 ,水肿 80例 ,感染 2 6例 ,总并发症率为 4 0 % (χ2 =118.6 6 ,P <0 .0 0 5 )。所有对比项目在 2组之间的差异均有统计学意义。 结论 阴茎根部皮肤环切术比传统的包皮环切术更具有优越性。
Objective To introduce the operative mode of circumcision of the root skin of penis for the treatment of redundant prepuce and its efficacy. Methods The operative indications included redundant prepuce and imperfect phimosis.With the will of patients,circumcision of the root skin of penis was performed on 256 cases of redundant prepuce and imperfect phimosis (group A).One section of the root skin of penis was resected,and the wound was sewed up.The skin of penis was moved from far to nearby and the prepuce was shortened finally.Compared with group A,group B (another 265 cases with the same indications) were treated with the traditional circumcision of prepuce.The amount of bleeding during operation and postoperative complications (bleeding, hematoma, dropsy, pain, infection of wound) were compared between the 2 groups. Results Intraoperative hemorrhagic amount was (3±1)ml in group A and (10±2)ml in group B( t=-50.36,P <0.001);painful duration was (16±4)h in group A and (48±16)h in group B( t=-31.07,P <0.001);post operative bleeding/hematoma,dropsy,infection of wound in group A were 2,3,1 cases,respectively,with an overall complication rate of 1.17%;while those in group B were 52,80,26 cases,respectively, with an overall complication rate of 40%(χ 2=118.66, P <0.005).The differences between the 2 groups were statistically significant. Conclusions Circumcision of the root skin of penis is better than the traditional circumcision of prepuce in treatment of redundant prepuce.
出处
《中华泌尿外科杂志》
CAS
CSCD
北大核心
2005年第1期51-53,共3页
Chinese Journal of Urology
