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锐性去表皮层包皮环切术138例临床分析

De-epitheUalization technique of circumcision in 138 cases
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摘要 目的探讨去表皮层包皮环切术治疗包皮过长及包茎的方法和效果。方法标记包皮切除长度,在利多卡因局部浸润麻醉下于包皮内、外板作两个互相平行的环形表皮层切口,用15^#刀锐性切除两切口间包皮的表皮层,保留真皮下微血管、阴茎浅筋膜、阴茎背浅静脉及淋巴管完整,并保留完整的包皮系带。结果去表皮层包皮环切术138例,术中出血极少,术后龟头及黏膜无水肿,无继发性出血及感染,均一期愈合。84例随诊2~24个月,切口无增生性瘢痕,不损害阴茎外观及功能。结论去表皮层包皮环切术对包皮过长及包茎患者治疗效果满意。 Objective To investigate the effect of de-epithelialization technique of circumcision for the treatment of phimosis and redundant prepuce. Methods The extra length of foreskin of 138 cases was de-epithelialized under local anesthesia with lidocaine. The superficial fascia and superficial dorsal veins and lymph vessel of penis were protected perfectly. Results During operation less bleeding occurred. After operation there was no edema occurring in balanus and mucous and no secondary bleeding and infection. Follow-up of 84 cases was done for 2 to 24 months, and there were no proliferative scars and the shape of the penis and the function were not damaged. Conclusion The de-epithelialization technique of circumcision is effective to phimosis and redutent prepure.
出处 《中国综合临床》 北大核心 2007年第2期157-158,共2页 Clinical Medicine of China
关键词 包茎 包皮环切术 包皮过长 去表皮层 Circumcision Phimosis De-epithelialization Redundant prepuce
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