整形外科原则在袖套式包皮过长矫正术中的应用及效果研究
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摘要
目的:将整形外科原则应用于改良袖套式包皮过长矫正术,探讨其与经典包皮环切术相比,在减少术区瘢痕,促进术后恢复,改善术后外观等方面的临床效果。方法:对经典袖套式包皮环切术加以改进,将切口设计在阴茎根部,并在阴茎腹侧形成"V"形切口。剥除多余皮肤的同时注意保护血管淋巴管及皮下神经。本组36例患者,其中20例采用阴茎根部切口袖套式包皮过长矫正术,16例采用经典包皮环切术,对伤口愈合情况、术区瘢痕、阴茎外观、患者主观感觉以及并发症发生情况等方面进行评价。结果:36例患者治疗后包皮过长情况均较前明显改善,所有患者均无出血、血肿等并发症发生,行阴茎根部切口袖套式包皮过长矫正术患者术后恢复快,外观更加理想,无瘢痕挛缩,临床效果更加满意。结论:采用阴茎根部切口袖套式包皮过长矫正术治疗包皮过长患者,效果确切,阴茎外观形态良好,术区瘢痕隐蔽,患者满意。
Objective The principle of plastic surgery was applied to the modified cuff circumcision for the correction of redundant prepuce. The clinical effect of the modified cuff circumcision was compared with the classical circumcision in reducing the scar in the operation area, promoting the postoperative recovery and improving the postoperative appearance. Methods The classical cuff circumcision was improved by changing the incision site at the penile root. A V-shaped incision was formed at the ventral side of the penis. While removing excess skin, we should also pay attention to protecting vascular lymph vessels and subcutaneous nerves. 36 patients were included in the study. Among them, 20 patients were treated by cuff circumcision and 16 patients were treated by classical circumcision. The wound healing, surgical scar, penile appearance, subjective sensation and complications were evaluated. Results 36 cases of redundant prepuce after treatment were significantly improved and all patients were without bleeding, hematoma and other complications. The group of penile root incision cuff redundant recovered faster, with more ideal appearance, without scar contracture, and the patients were more satisfied postoperation. Conclusion In patients with excessive prepuce, the use of penile root incision cuff foreskin correction was effective, penile appearance was good, surgical scar was concealed, and patient were more satisfied.
Objective The principle of plastic surgery was applied to the modified cuff circumcision for the correction of redundant prepuce. The clinical effect of the modified cuff circumcision was compared with the classical circumcision in reducing the scar in the operation area, promoting the postoperative recovery and improving the postoperative appearance. Methods The classical cuff circumcision was improved by changing the incision site at the penile root. A V-shaped incision was formed at the ventral side of the penis. While removing excess skin, we should also pay attention to protecting vascular lymph vessels and subcutaneous nerves. 36 patients were included in the study. Among them, 20 patients were treated by cuff circumcision and 16 patients were treated by classical circumcision. The wound healing, surgical scar, penile appearance, subjective sensation and complications were evaluated. Results 36 cases of redundant prepuce after treatment were significantly improved and all patients were without bleeding, hematoma and other complications. The group of penile root incision cuff redundant recovered faster, with more ideal appearance, without scar contracture, and the patients were more satisfied postoperation. Conclusion In patients with excessive prepuce, the use of penile root incision cuff foreskin correction was effective, penile appearance was good, surgical scar was concealed, and patient were more satisfied.
引文
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[6]何存盛,马国斌,雷振伟.商环包皮环切术袖套式包皮环切术及传统包皮环切术临床应用对比分析[J].微创泌尿外科杂志,2018,7(3):212-216.
[7]杜红兵,刘文泓,杨逢生,等.应用新型包皮套扎器的包皮环切术与传统包皮环切术治疗包皮过长的对比分析[J].中国实用医药,2018,13(16):36-38.
[8]顾本宏,田汝辉,智二磊,等.商环包皮环切术与改良袖套式包皮环切术73例临床疗效比较[J].中国男科学杂志,2017,31(5):53-56.
[9]吴春新,程开祥,刘阳,等.袖套式包皮环切术联合Z改形治疗包皮过长[J].组织工程与重建外科杂志,2010,6(5):290-291.
[10]杨延平,任宝明.包皮内外板定位法环切术60例疗效分析[J].中国美容医学,2012,21(7):54-55.
[11]张俊艳,胡建中,袁超英,等.改进包皮环切术临床应用探讨[J].中国美容医学,2007,16(9):1218-1220.
[12]谭谦,周宏礽,王淑琴,等.生殖器官整形手术的美学思考[J].中国美容整形外科杂志,2012,23(9):531-533.
[13]康安,蒙喜永,雷涛,等.包皮环切术的整形改进[J].中国美容医学,2005,14(1):44-45.
[14]王华礼,葛玉坤,孙旭东,等.4种包皮环切术临床疗效对比分析[J].中华男科学杂志,2018,24(2):189-191.
[15]陈侃,刘金昌,付海英,等.阴茎根部皮肤环切术与传统包皮环切术的疗效比较[J].中华泌尿外科杂志,2005,26(1):51-53.
[2]伍文兵,李文威.采用整形美容技术及理念治疗成人包茎的疗效观察[J].中国美容医学,2017,26(6):38-41.
[3]Abdulwahab-Ahmed A,Mungadi IA.Techniques of male circumcision[J].J Surg Tech Case Rep,2013,5(1):1-7.
[4]黎秋生,温裕庆,李荣兴,等.不同包皮环切术治疗包皮过长的临床效果分析[J].中国美容医学,2016,25(8):8-11.
[5]吴凯,蒋保亚.改良袖套式包皮过长矫正术治疗包茎或包皮过长的疗效分析[J].中国当代医药,2013,20(6):31-32.
[6]何存盛,马国斌,雷振伟.商环包皮环切术袖套式包皮环切术及传统包皮环切术临床应用对比分析[J].微创泌尿外科杂志,2018,7(3):212-216.
[7]杜红兵,刘文泓,杨逢生,等.应用新型包皮套扎器的包皮环切术与传统包皮环切术治疗包皮过长的对比分析[J].中国实用医药,2018,13(16):36-38.
[8]顾本宏,田汝辉,智二磊,等.商环包皮环切术与改良袖套式包皮环切术73例临床疗效比较[J].中国男科学杂志,2017,31(5):53-56.
[9]吴春新,程开祥,刘阳,等.袖套式包皮环切术联合Z改形治疗包皮过长[J].组织工程与重建外科杂志,2010,6(5):290-291.
[10]杨延平,任宝明.包皮内外板定位法环切术60例疗效分析[J].中国美容医学,2012,21(7):54-55.
[11]张俊艳,胡建中,袁超英,等.改进包皮环切术临床应用探讨[J].中国美容医学,2007,16(9):1218-1220.
[12]谭谦,周宏礽,王淑琴,等.生殖器官整形手术的美学思考[J].中国美容整形外科杂志,2012,23(9):531-533.
[13]康安,蒙喜永,雷涛,等.包皮环切术的整形改进[J].中国美容医学,2005,14(1):44-45.
[14]王华礼,葛玉坤,孙旭东,等.4种包皮环切术临床疗效对比分析[J].中华男科学杂志,2018,24(2):189-191.
[15]陈侃,刘金昌,付海英,等.阴茎根部皮肤环切术与传统包皮环切术的疗效比较[J].中华泌尿外科杂志,2005,26(1):51-53.