ï»?!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.0 Transitional//EN" "http://www.w3.org/TR/xhtml1/DTD/xhtml1-transitional.dtd"> 包皮环切æœ?/title> <meta name="keywords" content="手术,包皮环切æœ?泌尿生殖外科手术" /> <meta name="description" content="" /> <link href="http://images.whrenai.com/news_images/new_css.css" rel="stylesheet" type="text/css"> <SCRIPT src="http://images.whrenai.com/by_images/showFlash.js"></SCRIPT> <script type="text/javascript" language="javascript" src="http://images.whrenai.com/js/copy.js "></script> <SCRIPT src="http://images.whrenai.com/by_images/showFlash.js"></SCRIPT> <script language="javascript" src="http://images.whrenai.com/zx.js"></script> <script language='javascript' src='/js/Page.js'></script> <script language='javascript' src='/js/Xmlhttp.js'></script> <script language='javascript' src='/common/InfoViewCount.aspx?ModelId=1&&Id=70640'></script> </head> <body> <!--LOGO--> <div class=z1> <div class=logo><img src="http://images.whrenai.com/tongyong/images/logo.gif" 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<!--time end--> <div class=key>关键è¯ï¼š<a href='/List.aspx?chid=18&Keyword=%e6%89%8b%e6%9c%af&FieldName=tagnamestr' target='_blank'>手术</a></div> <!--key end--> <div class=daodu></div> <!--ad end--> <div class=geyan><label><span>å¥åº·è°šè¯­</span></label></div> <!--geyan end--> <div class=concent fang=08-03-07 17:05:06> <br> <p>包皮环切æœ?/p> <img border="0" src="../../Files/Shoushu/20081271443542177801.jpg" > ⑴阴茎根部皮下åŠä¸¤ä¾§é˜´èŒŽæµ·ç»µä½“麻é†? <img border="0" src="../../Files/Shoushu/20081271443545377802.jpg" > ⑵尿é“海绵体麻醉 å›?　阴茎海绵体麻é†? <img border="0" src="../../Files/Shoushu/20081271443550077803.jpg" > ⑴用止血钳夹起背侧包çš? <img border="0" src="../../Files/Shoushu/20081271443553177804.jpg" > ⑵用有槽探针剥离包皮粘连 <img border="0" src="../../Files/Shoushu/20081271443556277805.jpg" > ⑶沿探针槽剪开包皮 <img border="0" src="../../Files/Shoushu/20081271443560977806.jpg" > ⑷离冠状æ²?.5cm环切包皮 <img border="0" src="../../Files/Shoushu/20081271443564077807.jpg" > ⑸系带处包皮应多ä¿ç•™ <img border="0" src="../../Files/Shoushu/20081271443568777808.jpg"> ⑹结扎阴茎背浅é™è„‰æ­¢è¡€ <img border="0" src="../../Files/Shoushu/20081271443571877809.jpg" > ⑺ç¼åˆå†…å¤–æ¿ <img border="0" src="../../Files/Shoushu/200812714435750778010.jpg" > ⑻用ç¼çº¿å›ºå®šå‡¡å£«æž—纱å¸? å›?　包皮环切æœ? <p>[适应è¯]</p><p>1.包茎病儿因包皮囊å£ç‹­çª„而妨ç¢æŽ’尿或åå¤æ„ŸæŸ“者ã€?/p><p>2.æˆå¹´äººæ‚£åŒ…茎或患包皮过长åå¤æ„ŸæŸ“者ã€?/p><p>儿童期的包皮过长是正常的，婴儿有包茎或儿童有包皮过长，如无并å‘症，ä¸åº”施行包皮环切术。因ä¸?å²ä»¥ä¸‹å°å„¿çš„包茎多éšå¹´é¾„的增长而自行消失；å¦ä¸€éƒ¨åˆ†å„¿ç«¥åªè¦åå¤å°†åŒ…çš®å‘上退缩，扩大包皮囊å£ï¼Œå°±ä¼šéœ²å‡ºé˜´èŒŽå¤´ï¼Œä¹Ÿä¸å¿…手术切除ã€?/p><p>[术å‰å‡†å¤‡]</p><p>1.手术å‰å¤œåŠæ‰‹æœ¯å½“日，嘱病人清洗局部ã€?/p><p>2.并å‘包皮ã€é˜´èŒŽå¤´ç‚Žè€…，需选用è¯ç‰©å’Œå±€éƒ¨æµ¸æ³¡æ²»ç–—，炎症消退åŽå†è¡Œæ‰‹æœ¯ã€?/p><p>[麻醉]</p><p>局麻或阴茎海绵体麻醉；å°å„¿å¯åŠ åŸºç¡€éº»é†‰[å›? â‘?⑵]ã€?/p> <p>[手术步骤]</p><p>1.体ä½ã€€å¹³å§ä½ã€?/p><p>2.清洗消毒　用肥皂水和ç›æ°´æ¸…洗局部，ç”?âˆ?000æ–°æ´å°”ç­æ¶²æ¶ˆæ¯’；包茎者以注射器接é™è„‰åˆ‡å¼€é’ˆå¤´å°†æ–°æ´å°”ç­æ¶²æ³¨å…¥åŒ…皮囊内消毒ã€?/p><p>3.分离粘连　有包皮å£ç‹­çª„åŠåŒ…皮与阴茎头粘连者，先用止血钳扩大包皮å£ï¼Œå†ç”¨ä¸¤æŠŠæ­¢è¡€é’³å¤¹èµ·èƒŒä¾§ç¼˜æ­£ä¸­éƒ¨ä½ï¼ˆä¸¤é’³ç›¸è·?.2cm）[å›? â‘´]。用有槽探针分离粘连，直至阴茎头与包皮完全分开[å›? ⑵]。å†ç”¨æ¶ˆæ¯’生ç†ç›æ°´æ¸…æ´åŒ…皮囊åŠé˜´èŒŽå¤´ã€?/p> <p>4.设计切å£ã€€ç”¨ä¸€æŠŠæ­¢è¡€é’³å¤¹ä½åŒ…皮系带处，以æ起包皮。以刀尖在包皮外æ¿è·å† çŠ¶æ²Ÿç¼˜è¿œç«?.5cm处划一切痕，准备作为环切切å£ï¼Œè¦é˜²æ­¢åˆ‡é™¤è¿‡å¤šã€?/p><p>5.背侧切开　用剪刀沿探针槽剪开包皮内ã€å¤–æ¿ï¼ŒåŒ…皮内æ¿ä¹Ÿåº”剪至è·å† çŠ¶æ²Ÿç¼˜çº¦0.5cm处[å›? ⑶]ã€?/p> <p>6.切除包皮　将包皮内ã€å¤–æ¿å¯¹é½ï¼Œå‘外拉开夹在包皮背侧åŠç³»å¸¦å¤„的止血钳，å†å¤æŸ¥åŒ…皮外æ¿åˆ‡ç—•ä½œä¸ºçŽ¯åˆ‡åˆ‡å£æ˜¯å¦é€‚当。如果适当，用弯剪沿è·å† çŠ¶æ²Ÿçº¦0.5cm的切痕处剪去å³ä¾§çš®ç“£[å›? â‘·]，然åŽå†å‰ªå·¦ä¾§ã€‚包皮系带处的内外æ¿å¯ä»¥ä¸å‰ªåŽ»ï¼Œæˆ–者多ä¿ç•™ä¸€äº›[å›? ⑸]ã€?/p> <p>7.止血　将阴茎皮肤å‘上退缩，显露出血点åŽæ­¢è¡€ï¼Œåº”特别注æ„将阴茎背侧正中的阴茎背浅é™è„‰ç»“扎[å›? ⑹]ã€?/p> <p>8.ç¼åˆã€€ç”¨ç»†ä¸çº¿å…ˆåœ¨çŽ¯å½¢åˆ‡å£çš„背ã€è…¹ã€å·¦ã€å³å¤„å„ç¼åˆä¸€é’ˆï¼Œç»“扎ä¸è¦å¤ªç´§ï¼Œä»¥å…组织水肿时勒å皮肤。ç¼çº¿ä¸å‰ªçŸ­ï¼Œç•™ä½œå›ºå®šæ•·æ–™ç”¨ã€‚å†ç”¨æ¯ä¸¤é’ˆç¼çº¿ä¹‹é—´ç¼åˆ1ï½?针，ç¼é’ˆåº”é è¿‘切缘穿出[å›? ⑺]ã€?/p> <p>9.包扎　将一æ¡å‡¡å£«æž—纱布（毛边å åœ¨é‡Œé¢ï¼‰çŽ¯ç»•åŒ…皮切å£å¤„，用留长的ç¼çº¿å›ºå®šï¼Œç„¶åŽç”¨æ•°å±‚纱布包扎[å›? â‘»]ã€?/p> <p>[术中注æ„事项]</p><p>1.包皮环切术中，内ã€å¤–æ¿é—´çš„血管断端往往å‘近侧退缩，必须找出，加以结扎，å¦åˆ™å¯ä»¥å½¢æˆå¤§è¡€è‚¿ã€?/p><p>2.包皮ä¸å¯åˆ‡å¾—过多，以å…引起痛性阴茎勃起。一般包皮内æ¿åº”剪至è·å† çŠ¶æ²Ÿçº?.5cm处。系带部也ä¸å¯ç•™å¾—过少ã€?/p><p>[术åŽå¤„ç†]</p><p>1.术åŽ3ï½?日内于ç¡å‰æœé•‡é™å‰‚，以防阴茎勃起，引起疼痛和出血ã€?/p><p>2.告知病人排尿时勿弄湿纱布ã€?/p> </div> <!--concent end--> <div class=next> <p><a href="http://www.whrenai.com/ssdq/mnszwk/70639.html">å°¿é“狭窄修å¤æœ?/a></p> <p><a href="http://www.whrenai.com/ssdq/mnszwk/70641.html">输精管å»åˆæœ¯</a></p> </div> <!--next end--> <div class=fanhui><a href="http://www.whrenai.com"><img src="http://images.whrenai.com/news_images/back.gif" width="180" height="34" border="0" /></a><a 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