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(1)
[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。本組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。
[关键词]整形外科原则；包皮环切术；袖套式；阴茎根部；包皮过长
[中图分类号]R622 [文献标志码]A [文章编号]1008-6455(2018)11-0022-03
, 百拇医药
Abstract： 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 post-operation. 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.
, 百拇医药
Key words： principles of plastic surgery； circumcision； cuff； penis root； redundant prepuce
包皮过长是泌尿外科及整形外科常见病，其不利于自身及性伴侣的生殖健康[1]，常常需要手术治疗，包皮环切术是治疗该病的首选方法。近年来，随着生活水平的提高，患者对包皮环切术有了更高的要求，希望在诊治疾病的同时兼顾功能及外观。整形外科原则要求爱惜组织，切口隐蔽，减少瘢痕，可以最大程度地满足患者要求[2]，笔者科室在经典袖套式包皮环切术的基础上利用整形外科原则对手术加以改良，取得了良好的临床效果。
1 资料和方法
1.1 临床资料：2016年1月-2017年12月笔者科室因男性包皮过长行包皮环切术36例，其中采用阴茎根部切口包皮过长矫正术20例，年龄19～55岁，平均(36.86±8.88)岁；采用经典包皮环切术患者16例，年龄8～40岁，平均(21.75±8.66)岁，其中8例伴有包茎。所有36例患者均无尿道下裂、阴茎弯曲畸形、勃起功能障碍、包皮粘连等。所有患者随访时间均大于6个月，平均随访时间为(16.89±6.96)个月。
1.2 手术方式：所有36例患者均采用1%利多卡因于阴茎背侧行神经阻滞麻醉及切口处行局部浸润麻醉。20例患者采用阴茎根部切口袖套式包皮过长矫正术；16例患者采用经典包皮环切术。, http://www.100md.com(林樾 王淑琴 许澎)
[关键词]整形外科原则；包皮环切术；袖套式；阴茎根部；包皮过长
[中图分类号]R622 [文献标志码]A [文章编号]1008-6455(2018)11-0022-03
, 百拇医药
Abstract： 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 post-operation. 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.
, 百拇医药
Key words： principles of plastic surgery； circumcision； cuff； penis root； redundant prepuce
包皮过长是泌尿外科及整形外科常见病，其不利于自身及性伴侣的生殖健康[1]，常常需要手术治疗，包皮环切术是治疗该病的首选方法。近年来，随着生活水平的提高，患者对包皮环切术有了更高的要求，希望在诊治疾病的同时兼顾功能及外观。整形外科原则要求爱惜组织，切口隐蔽，减少瘢痕，可以最大程度地满足患者要求[2]，笔者科室在经典袖套式包皮环切术的基础上利用整形外科原则对手术加以改良，取得了良好的临床效果。
1 资料和方法
1.1 临床资料：2016年1月-2017年12月笔者科室因男性包皮过长行包皮环切术36例，其中采用阴茎根部切口包皮过长矫正术20例，年龄19～55岁，平均(36.86±8.88)岁；采用经典包皮环切术患者16例，年龄8～40岁，平均(21.75±8.66)岁，其中8例伴有包茎。所有36例患者均无尿道下裂、阴茎弯曲畸形、勃起功能障碍、包皮粘连等。所有患者随访时间均大于6个月，平均随访时间为(16.89±6.96)个月。
1.2 手术方式：所有36例患者均采用1%利多卡因于阴茎背侧行神经阻滞麻醉及切口处行局部浸润麻醉。20例患者采用阴茎根部切口袖套式包皮过长矫正术；16例患者采用经典包皮环切术。, http://www.100md.com(林樾 王淑琴 许澎)
参见：首页 > 医疗版 > 疾病专题 > 泌尿外科 > 阴茎 > 包茎和包皮过长