Objective To summarize the application experience of Ai Tong (Chinese Shang Ring) disposable oval circumcision anastomat in pediatric urology.Methods A retrospective study of 1 481 cases of pediatric urology using a disposable oval circumcision anastomat at Xuzhou Children's Hospital from October 2014 to December 2017 was performed.The average age at the time of surgery was 5.2 (2-14 years) years.Among them,there were 1 226 cases of phimosis,32 cases of scar phimosis in chronic infection,23 cases of phimosis or redundant prepuce with urethral duplication,29 cases of foreskin trauma,35 cases of phimosis or redundant prepuce with urethral cyst,3 cases of phimosis or redundant prepuce with urethral stricture,108 cases of phimosis or redundant prepuce with webbed penis,6 cases of phimosis with penile downward bending,4 cases of phimosis with short frenulum preputii,and 15 cases of relatively normal foreskin development,Ⅰ° and Ⅱ° hypospadias with unapparent penile downward bending,and megalourethra with complete foreskin hypospadias.Results All operations were completed successfully.The postoperative circumcision time was less than 5 days on 2 cases(0.1％),and was longer than 25 days on 9 cases(0.6％).The average postoperative circumcision time was 13.2 days.During a follow-up period of 3 months,except for 2 cases (0.1％) of frenulum preputii edema,all other cases had a satisfactory foreskin appearance.They had no obvious foreskin scar hyperplasia,the foreskin cutting edge was neat,the foreskin ligament was intact,the foreskin was left and right symmetrical,and the foreskin was preserved in the absence of erection to cover the coronary sulcus to 1/3 of the glans.All children with hypospadias had no urethral stricture and urethral fistula,and the penis was satisfactory.Conclusions Ai Tong (Chinese Shang Ring) disposable oval circumcision anastomat is satisfactory in the treatment of various diseases of pediatric urology.With a low incidence of postoperative complications,it may be easy to carry out this procedure at grass-roots hospital.%目的 总结一次性椭圆包皮环切吻合器[爱童(中国商环)]在小儿泌尿外科中的应用经验.方法 回顾2014年10月至2017年12月徐州市儿童医院泌尿外科开展的1 481例使用爱童一次性椭圆包皮环切吻合器的阴茎手术.手术时平均年龄5.2(2～14)岁.其中单纯的包茎和包皮过长1 226例,慢性感染期瘢痕包茎32例,包茎或包皮过长合并尿道重复畸形23例,包皮外伤29例,包茎或包皮过长合并尿道口囊肿35例,包茎或包皮过长合并尿道口狭窄3例,包茎或包皮过长合并蹼状阴茎108例,包茎合并阴茎下弯6例,包茎合并系带过短4例,包皮发育相对正常、阴茎下弯不明显的Ⅰ °和Ⅱ°尿道下裂、巨尿道口伴完整包皮型尿道下裂15例.结果 本研究1 481例均顺利完成手术.术后包皮环脱落时间＜5d2例(0.1％),包皮环脱落时间＞25 d 9例(0.6％).包皮环脱落时间平均13.2d.术后3个月随访,除2例包皮系带臃肿(0.1％),其余患儿术后包皮外观满意.所有患儿无明显包皮瘢痕增生、包皮切缘整齐、包皮系带完整、保留包皮左右对称、未勃起状态下保留包皮可以覆盖冠状沟至龟头后1/3.所有尿道下裂患儿无尿道狭窄和尿道瘘,阴茎伸直满意.结论 爱童(中国商环)一次性椭圆包皮环切吻合器在小儿泌尿外科多种疾病治疗中使用效果满意,术后并发症发生率低,且容易在基层医院开展.
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