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目的探讨采用气囊导管扩张术治疗高原地区小儿包茎的临床应用价值。方法西藏军区总医院儿科共收治包茎患儿625例。年龄2个月～14岁;轻症285例,中症237例,重症103例。均采用气囊导管扩张术治疗,用带气囊的导管放入包皮口内,逐渐向气囊内充气至包皮口被扩张。2个月后复诊。结果 625例中623例在治疗2周内均达到治愈标准,治愈率达99.7%,一次扩张成功457例(73.35%),2次或2次以上扩张成功者166例(26.65%),患儿需要扩张次数与包茎病情程度有关,程度越重,需要扩张的次数也越多(P<0.01)。部分患儿治疗后出现局部水肿(28.25%)、疼痛(18.46%)、出血(5.62%)及急性尿潴留(1.30%)等并发症,病情程度重者,并发症发生率高,而病情程度轻者发生率低(P<0.01),经积极治疗均缓解,不影响生活。结论在高原地区应用气囊导管扩张术治疗小儿包茎安全、可行,但应注意病例选择、并发症的预防和治疗前后的护理。
Objective To investigate the clinical value of balloon catheterization for pediatric phimosis in plateau areas. Methods Totally 625 children with phimosis were admitted to pediatric department of General Hospital of Tibet Military Region. Age 2 months to 14 years; 285 cases of mild, disease 237 cases, 103 cases of severe. Both balloon catheter dilation treatment, with a balloon catheter into the foreskin mouth, gradually inflated to the air bag to the foreskin is the expansion of the mouth. Referral 2 months later. Results 623 cases of 625 cases achieved the cure standard within 2 weeks. The cure rate was 99.7%, 457 cases (73.35%) were successful in one expansion and 166 cases (26.65%) were successful in 2 or more cases. Need to expand the number of cases and the degree of phimosis, the more serious the need to expand the number of more (P <0.01). Some children suffered from complications such as local edema (28.25%), pain (18.46%), bleeding (5.62%) and acute urinary retention (1.30%), severe illness, high complication rate, The incidence of mild (P <0.01), after active treatment were relieved, does not affect life. Conclusions The application of balloon catheter dilation in pediatric plateau is safe and safe for pediatric phimosis. However, care should be taken in case selection, prevention of complications and before and after treatment.