改良袖套式包皮环切术治疗包皮过长及包茎168例的临床分析

The clinical analysis of 168 cases modified technique of sleeve circumcision for the treatment of phimosis and redundant prepuce.

目的探讨改良袖套式包皮环切术治疗包皮过长及包茎的临床分析。方法2004年3月-2007年12月采用改良袖套式包皮环切术治疗包皮及包茎168例，术前行阴茎勃起试验，使阴茎勃起状态下，先标出包皮切除长度，画线笔在直视下于包皮内、外板画出互相平行的环形切线，于包皮内、外板画线处环形切口，横断多余包皮内、外板，将两切口间多余包皮用电刀剥离、保留完整肉膜及皮下浅层血管，并保留完整包皮系带。结果168例术中出血较少，包皮内、外切缘整齐，术后切口无水肿，无继发性出血及切口感染，均一期愈合，切口瘢痕较少，阴茎外型美观，感觉良好。结论改良袖套式包皮环切术对包皮过长及包茎患者治疗效果满意。并发症少，是治疗包皮过长及包茎的安全理想的选择。

Objective： Improvement of cuff-circumcision foreskin is too long for the treatment of the clinical analysis and phimosis. Method： From March 2004 to December 2007 by the improved cuff-circumcision for the treatment of foreskin and phimosis 168 cases, the former Bank of erectile test, so that erectile state, the first marked with the length of the foreskin, drawing a line in the straight under the foreskin, the board to draw the parallel between the ring tangent, in the foreskin, the board drawing a line outside the ring incision, cross-sectional redundant foreskin inside and outside panels, incision between the two redundant foreskin electricity peeling knife, to retain integrity of meat Film and subcutaneous shallow vascular and retain integrity of the foreskin with. Results： 168 cases less blood loss, the foreskin, the margin and tidy incision after no swelling, no bleeding and secondary wound infection, primarily healing, scar incision less, the penis good looks, feel good. Conclusion： Improved cuff-style circumcision of the foreskin is too long and phimosis treatment of patients with satisfactory results. Fewer complications, the foreskin is too long for the security and phimosis ideal choice.