含肾上腺素的肿胀麻醉技术在袖套式包皮环切术中的应用

摘要

目的:探讨含肾上腺素的肿胀麻醉技术在袖套式包皮环切术中的安全性和有效性.方法:应用含肾上腺素30μg、利多卡因60mg共6ml肿胀液行肿胀麻醉,对170例受术者实施袖套式包皮环切术.结果:所有受术者麻醉满意,麻醉维持4～7h.术中皮下小动脉、小静脉痉挛,切断的小血管断端无流血,术后无反应性出血,皮肤无坏死,切口一期愈合.结论:袖套式包皮环切术时含肾上腺素30μg的肿胀麻醉方法是一种安全,简单和有效的麻醉方法.%Objective To explore the safety and efficacy of tumescent anesthesia with adrenaline for sleeve circumcision. Methods 170 cases of sleeve circumcision were performed under 6ml of tumescent anesthesia solution containing adrenaline 30μg and lidocaine 60mg. Results Satisfactory anesthesia results were obtained in all cases.Intraoperative subcutaneous arterioles and venules are in spasm and cut without bloodshed. Incisions were all healed in one stage with no infection, no delayed haemorrage and no adrenaline-induced skin necrosis. Conclusions The tumescent anesthesia with adrenaline 30μg is safe, simple and effective for sleeve circumcision.