应用商环治疗儿童包皮过长和包茎的体会

Circumcision anastomat in the treatment of phimosis and redundant prepuce in children

目的：总结应用商环在儿童包茎及包皮过长治疗中的经验。方法：对2008~2010年551例儿童包茎、包皮过长手术（商环组342例,传统环切组209例）进行回顾性分析。结果：与传统环切相比,商环具有手术时间短（P〈0.05）、不需包扎、切口工整等优点,但也具有伤口愈合时间长（P〈0.05）、疼痛更明显等缺点（P〈0.05）。结论：儿童包皮过长、包茎手术,应用商环与传统手术比较二者各有优缺点,但是商环优点更明显、更可行。

Objective： To summarize the experience in the application of circumcision anastomat in the treatment of phimosis and redundant prepuce in children.Methods： A total of 551 children with phimosis or redundant prepuce were treated by circumcision from 2008 to 2010,342 with circumcision anastomat and the other 209 by traditional circumcision.Their clinical data were retrospectively analyzed.Results： Compared with traditional circumcision,circumcision with the anastomat showed the advantages of less operation time（P 0.05）,fewer complications,no need for dressing,and better cosmetic appearance,but it also exhibited the disadvantages of longer healing time（P 0.05） and more obvious postoperative pain（P 0.05）.Conclusion： Circumcision with the anastomat and traditional circumcision for the treatment of phimosis and redundant prepuce in children each have their own advantages and disadvantages,but the former is more advantageous and more feasible clinically.