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目的:对儿童及成人应用商环行包皮环切术的疗效及并发症进行对比分析。方法:采用商环对702例成人、216例儿童进行了包皮环切术,对手术时间、愈合时间、术后包皮水肿、术后出血、术后疼痛、术后感染等指标进行了对比分析。结果:儿童组手术时间及愈合时间均较成人组长;2个组均有不同程度的包皮水肿;成人组有2例(0.3%)发生明显出血,经II期缝合,愈合良好,儿童组未发生明显出血;2个组术后48h左右均有轻度疼痛,成人夜间更明显。术后拆环时成人组疼痛能耐受,儿童组疼痛明显,术后2周左右拆环更合适;成人组8例(1.14%)、儿童组2例(0.93%)发生了术后感染,经积极处理,均愈合良好,术后常见组织液、淋巴液渗出形成类似“脓液”的黄白色分泌物,不是感染。结论:应用商环治疗儿童及成人包皮过长或包茎均有良好的临床效果,应掌握好手术适应症,选择合适的型号,术中包皮内板保留要适当,术前术后进行必要的宣教,更要掌握好术后拆环时间,以利于伤口愈合及减轻拆环疼痛。
Objective: To compare the curative effect and complications of commercial circumcision in children and adults. Methods: Circumcision was performed on 702 adult and 216 children by commercial circle. The operative time, healing time, postoperative foreskin edema, postoperative bleeding, postoperative pain and postoperative infection were compared. Results: The operation time and healing time in children group were longer than those in adult group. There were varying degrees of foreskin edema in both groups. In group 2, there were significant bleeding in 0.3% Significant bleeding occurred; 2 groups of mild pain after about 48h, more obvious at night in adults. In the adult group, the pain was well tolerated in the adult group, and the pain in the children group was more obvious. The removal of the ring was more suitable in about 2 weeks postoperatively. Postoperative infection occurred in 8 cases (1.14%) in adult group and 2 cases (0.93% After active treatment, healed well, postoperative common tissue fluid, lymph fluid exudation to form a similar “pus” yellow-white discharge, not infection. Conclusion: The application of commercial ring treatment of children and adults with long prepuce or phimosis have a good clinical effect, surgical indications should be mastered, select the appropriate model, intraoperative preservation of the prepuce within the appropriate preoperative and postoperative necessary education , But also to grasp the postoperative removal ring time, in order to facilitate wound healing and reduce the split ring pain.