CAJ | 학술논문

目的：观察术前包皮外板目标切割标记定位在小儿包皮环扎术中的临床效果。方法对135例患者在麻醉前行包皮外板目标切割标记定位、在定位标记线的指引下完成包皮环扎术。观察手术时间、手术失血、术后疼痛、术后水肿、术后包皮形态等指标。结果135例患者均一次完成包皮环扎手术。手术时间4~10 min，平均（6.37±1.12）min，手术出血量0~3 ml，平均（1.13±0.48）ml，术后无继发性出血。套扎环脱落时间7~28 d，平均（16.87±4.32）d，均自行脱落。135例均一期愈合，切缘整齐，瘢痕平滑。结论术前包皮外板目标切割标记定位在小儿包皮环扎术中具有可操作性，有助于提高手术的精准切割。
목적：관찰술전포피외판목표절할표기정위재소인포피배찰술중적림상효과。방법대135례환자재마취전행포피외판목표절할표기정위、재정위표기선적지인하완성포피배찰술。관찰수술시간、수술실혈、술후동통、술후수종、술후포피형태등지표。결과135례환자균일차완성포피배찰수술。수술시간4~10 min，평균（6.37±1.12）min，수술출혈량0~3 ml，평균（1.13±0.48）ml，술후무계발성출혈。투찰배탈락시간7~28 d，평균（16.87±4.32）d，균자행탈락。135례균일기유합，절연정제，반흔평활。결론술전포피외판목표절할표기정위재소인포피배찰술중구유가조작성，유조우제고수술적정준절할。
Objective To investigate the clinic effect of marking target location at wrapping the outer plate in pediatric prepuce cerclage surgeries. Methods Totally 135 patients were studied. All patients were marked target location at wrap-ping the outer plate before anesthesia. The operation time, hematoma, local pain edema, shape of prepuce were observed and compared. Results All the patients were performed cerclage of prepuce successfully. Operation time ranged from 4 to 10 minutes, with an average of (6.37±1.12)minutes, and with bleeding volume ranging from 0 to 3 ml, averaging (1.13± 0.48)ml. No secondary bleeding after operation in all the children. Ligation ring off time ranged from 7 to 28 days with av-eraging(16.87±4.32) days; The ligation ring fell off by themselves in all 135 cases (100%). All cases got primary healing with smooth cutting edge. Conclusion Marking target location at wrapping the outer plate in pediatric prepuce cerclage was feasible and effective. The method helps to improve the degree of precision and accuracy in treating phimosis and re-dundant prepuce.