摘要
目的探讨采用三叶瓣交叉缝合法治疗包皮水肿的有效性。方法在包皮内、外板交界处设计环形切口线，切除部分包皮外板和皮下组织，并在环形切口上下方分别去除三角形包皮组织，使切口上下方各形成3个三叶瓣，将其交叉缝合。自2005年8月至2011年8月，共治疗13例包皮水肿患者，其中嵌顿性包茎术后继发水肿者9例，嵌顿性包茎初诊者4例。结果13例患者术后包皮水肿均明显好转，其中1例术后切口延迟愈合；随访3-12个月，无复发，排尿正常，外观形态良好。结论三叶瓣交叉缝合法是治疗嵌顿性包茎、包皮水肿及术后继发水肿的有效方法。
Objective To explore the effect of trilobate flap with crossing suture in the treatment of prepu- tial edema. Methods The ring-shaped incision was designed in the juncture of inner and outer plate of fore- skin, the part of inner and outer plate of foreskin was removed, and the triangle foreskin tissue was also removed above and below of ring-shaped incision to form three trilobate flaps which were sutured by crossing suture. Total- ly 13 patients aged from 6 months to 14 years with preputial edema were admitted to our department from 2005 to 2011, in which 9 patients were secondary foreskin edema after locking foreskin relieving surgery and 4 patients with locking phimosis visited our department for the first time. Results Preputial edema of all the 13 patients turned better except for of one patient with delayed recovery of incision. After 3 to 12 months follow-up, all were satisfied with normosthenuria, good appearance and no recurrence. Conclusion Trilobate flap with crossing su- ture is an effective method in treating locking preputial edema and postoperatively secondary edema.
出处
《中国美容整形外科杂志》
CAS
2012年第1期28-30,共3页
Chinese Journal of Aesthetic and Plastic Surgery
关键词
包皮
水肿
三叶瓣
Foreskin
Edema
Trilobate flap
