摘要
目的介绍内板下塞入纱布袖套式包皮环切术的优点。方法回顾性分析2003年3月～2007年3月对160例包皮过长患者行内板下塞入纱布袖套式包皮环切术，年龄19～28岁，平均23岁，其中包皮过长I型125例，Ⅱ型30例，Ⅲ型5例。结果切口均一期愈合，切口美观。术后6～48h出血2例，无切口裂开，无切口感染。结论内板下塞入纱布袖套式包皮环切术在张力状态下剥离皮肤容易进行，安全、出血少、浅筋膜组织保留多且连续，是一种较好的袖套式包皮环切术的具体术式，值得临床推广。
Objective To introduce the advantages of the sleeve circumcision by inserting a piece of gauze between the inner prepuce and superfacial fascia. Methods From March 2003 to March 2007 , 160 patients with redundant prepuce, the age were 19 -28 years, averaging 23 years. There were circumcised by inserting a piece of gauze between the inner prepuce and superfacial fascia. All of the whole cases, 125 （78. 1% ） cases were classified as type I ,30 cases（ 18.8% ）as type II and 3cases（3.1% ） as type m redundant prepuce. The average operation time was 31 minutes （25 -54 min）. Results The incisions were all healed in one stage with good appearance , no infection and no disruption. Bleeding occurred in 2 cases after the operation in 6 - 48 hours. Conclusions The sleeve circumcision by inserting a piece of gause between the inner prepuce and superficial fascia, with easier performance , fewer complications and less bleeding, and capable of preserving more and continuous superficial fascia and giving a better appearance , well deserves to be popularized in clinical practice.
