目的：探讨治疗小儿包皮过长、包茎的较佳手术方式。方法：对318例小儿包茎、包皮过长随机分为环套术206例、环切术112例，并进行随访，比较其治疗效果。结果：手术时间分别为(9±1．5)和(28±5)min(P＜0．001)；并发症发生率分别为4．85％和15．18％(P＜0．001)；术后护理工作量，环套术组明显少于环切术组。结论：小儿环套术操作简单、耗时短、并发症少，值得推广。%Aim: To evaluate this two operation to manage phimosis and adherent prepuce. Methods: Three hundred and eighteen patients were randomised into two groups. Group 1 (n=206) underwent plastibell circumcision and group 2 ( n = 112) underwent circumcision. All patients were follow up for more than 4 weeks. The results were analyzed with u - test or chi - squre test. Results: The time spent for plastibell circumcision and circumcision were 9 + 1.5 and 28 + 5 minutes respectively (P＜0.001); The overal complication rates were 4.85％ and 15.18％ respectively (P＜0.001); The postoperative nursing with plastibell circumcision is simpler than that with circumcision. Conclusion: Plastibell circumcision is a preferred method for treatment of phimosis and adherent prepuce in children.
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