| 32 | 0 | 37 |
| 下载次数 | 被引频次 | 阅读次数 |
<正>随着生活水平的不断提高及健康知识的普及,越来越多的家长在下一代的儿童时期选择了包皮环切术。美国有40%~67%的父母为了卫生和医疗方面的获益而为其子选择包皮环切术[1]。虽然包皮环切是一种小手术,但术后仍有一定概率的并发症发生[2]。特别是儿童包茎、包皮过长合并包皮阴茎头粘连非常普遍,术后粘连创面的溃疡发生率极高[3-4],不仅增加术后伤口的疼痛不适,而且延长伤口愈合的时间。为了减轻儿童包皮环切术后疼痛,促进溃疡创面愈合,给患儿及家长提供一个相对舒适的医疗体验,我科于2020年1-6月在包皮环切术中使用液体敷料覆盖粘连创面,观察该敷料在减轻术后疼痛,促进溃疡创面愈合,缩短恢复病程等方面的临床疗效。
Abstract:[1]Robert A,Ottaway S,Gould S. Circumcision:We Have Heard From the Experts; Now Let's Hear From the Parents[J]. Pediatrics,2001,107(2):E20.
[2]Weiss HA,Larke N,Halperin D,et al. Complications of circumcision in male neonates,infants and children:A systematic review[J]. BMC Urol,2010,10(2).
[3]Patel H. The Problem of Routine Circumcision[J]. Can Med Assoc J,1966,95(11):576-581.
[4]蒋鹤松,仲冰,姜熙.等.美皮贴用于小儿包皮环切术后的临床效果观察[J].中华男科学杂志,2020,26(4):377-379.
[5]刘莹,刘天婧,王恩波.不同年龄段儿童疼痛评估工具的选择[J].中国疼痛医学杂志,2012,18(12):752-755.
[6]Morris BJ,Bailis SA,Wiswell TE. Circumcision rates in the United States:Rising or falling? What effect might the new affirmative pediatric policy statement have?[J]. Mayo Clin Proc,2014,89(5):677-686.
[7]Kim DS,Koo SA,Pang MG. Decline in male circumcision in South Korea[J]. BMC Public Health,2012,(12):1067.
[8]李文轶.云南省包皮环切现状的初步调查研究[D].昆明:昆明医学院,2009.
[9]Singh-Grewal D,Macdessi J,Craig J. Circumcision for the prevention of urinary tract infection in boys:A systematic review of randomised trials and observational studies[J]. Arch Dis Child,2005,90(8):853-858.
[10]Larke NL,Thomas SL,Weiss HA. Male circumcision and penile cancer:A systematic review and meta-analysis[J]. Cancer Causes Control,2011,22(8):1097-1110.
[11]Albero G,Castellsague X,Giuliano AR,et al. Male circumcision and genital human papillomavirus:A systematic review and meta-analysis[J]. Sex Transm Dis,2012,39(2):104-113.
[12]Siegfried N,Muller M,Deeks J,et al. HIV and male circumcisiona systematic review with assessment of the quality of studies[J].Lancet Infec Dis,2005,5(3):165-173.
[13]Charlton OA,Smith SD. Balanitis xerotica obliterans:A review of diagnosis and management[J]. Int J Dermatol,2019,58(7):777-781.
[14]Ponsky LE,Ross JH,Knipper N,et al. Penile adhesions after neonatal circumcision[J]. J Urol,2000,164(2):495-496.
[15]Alpert SA,Ching CB,Da Justa DG,et al. Combination treatment for cicatrix after neonatal circumcision:An office-based solution to a challenging problem[J]. J Pediatr Urol,2018,14(5):471-475.
[16]张宇飞,袁佩雯,阴克强.皮肤擦伤后急诊治疗方式的研究进展[J].中国美容医学,2020,29(2):163-167.
[17]陈琳,宁宁,陈慧.等.皮肤创伤湿性愈合治疗的临床效果观察[J].华西医学,2015,30(10):1810-1813.
基本信息:
DOI:10.13263/j.cnki.nja.2026.04.016
中图分类号:R726.9
引用信息:
[1]沈晶,朱信强,方俊,等.液体敷料在儿童包皮环切术中的使用研究[J].中华男科学杂志,2026,32(04):376-378.DOI:10.13263/j.cnki.nja.2026.04.016.
2026-04-20
2026-04-20