摘要
目的探讨包皮环切术后切口瘢痕挛缩的手术治疗方法。方法2003年1月至2009年12月，我院共收治包皮环切术后出现环状瘢痕挛缩的患者共36名，年龄17～45岁，平均（28．7±8．9）岁，入院后在腰麻或阴茎背神经阻滞麻醉下接受手术治疗。根据环状瘢痕的宽度、增生及挛缩程度、现有包皮组织量，分别予以瘢痕切除后精细缝合、二次包皮环切或多个“Z”成形术治疗。分别于术后1周、6周、3个月和6个月进行随访，随访内容为：（1）伤口外形及愈合情况；（2）阴茎勃起后有无不适及束缚感，（3）性生活改善情况。结果90．1％（33／36）的患者术后对伤口恢复满意，术后有2例患者内板水肿仍存在，3例仍伴有勃起时不适感。结论根据包皮环切术后环状瘢痕挛缩的程度及伴发症状，选择不同手术方式进行矫治，可有效松解环状挛缩，消除或减轻阴茎勃起后不适感，提高性生活满意度。初次术式与矫正手术后疗效有一定的关系。
Objective To explore the surgical treatments for scar contraction after circumcision. Methods From January 2003 to December 2009, there were totally 36 patients （aged from17 to 45years old, average 28.7±8.9years） suffered from scar contraction after circumcision received surgical treatments in our department. The treatments differed according to the width of scar, the degree of scar contraction and remnant forskin. Scar removal with delicate suture, re-circumcision and z-plasty were applied respectively. Wound recovery, scar contraction and satisfaction of sexual life were followed up lw, 6w, 3m, and 6m post-operation. Results 90.1%（33/36） of patients were satisfied with the recovery of wound, and didn＇ t complain about the discomfort and contraction of scar during erection. 3 patients still healed with hyperplastic scar, and felt uncomfortable during erection. Conclusion The appropriate theraputic strategy should be made according to the degree of scar contraction and remnant forskin. Removal with delicate suture, re-circumcision or ＂z＂ -plasty can effectively solve the problem for most parts of scar contraction after circumcision.
出处
《中国男科学杂志》
CAS
CSCD
2011年第11期31-33,共3页
Chinese Journal of Andrology
