新型包皮套扎器行包皮环切术和传统包皮环切术的比较研究

发布时间：2018-04-28 06:05

本文选题：包皮环切术 + 包茎　；参考：《中华男科学杂志》2017年11期

【摘要】：目的:比较新型包皮套扎器行包皮环切术与传统包皮环切术治疗包皮过长及包茎的临床效果及并发症。方法:750例包皮环切术的患者分为两组,450例采用新型包皮套扎器包皮环切术(套扎器组),300例采用传统包皮环切术(传统组),分析和比较两组患者的手术时间、出血量、疼痛评分(视觉模拟评分法,VAS)、术后恢复时间和术后感染的发生率,及术后外观满意度等。结果:所有手术均顺利完成,套扎器组的手术时间(3.78±0.42)min、术中出血量(2.39±1.01)ml、术中疼痛评分(0.14±0.36)分,术后6 h疼痛评分为(0.32±0.78)分,拆环时疼痛评分(3.35±1.42)分,术后包皮完全愈合时间(7.61±1.60)d,愈合后外观满意度97.8%(440/450),术后出血及血肿0.89%(4/450);传统手术组分别为(26.24±3.99)min,(10.80±3.57)ml,(2.30±1.46)分,(3.03±1.56)分,(2.43±1.67)分,(8.57±1.37)d,86%(258/300),3%(9/300);以上8项指标均有统计学意义(P0.05)。套扎器组拆套扎器前夜间疼痛评分(1.45±1.02)分,拆环后包皮内板及系带处水肿0.89%(4/450),传统手术组分别为拆线前夜夜间疼痛评分(1.38±0.92)分,拆线后水肿2.33%(7/300),以上两项无统计学意义(P0.05)。两组发生包皮裂开各1例,均无术后明显感染及延迟愈合情况发生。结论:新型包皮套扎器包皮环切术具有手术时间短,术中术后出血少,疼痛轻,术后外观满意度高,安全度高,受术者易于接受等优点,值得临床推广应用。
[Abstract]:Objective: to compare the clinical effect and complications of circumcision of prepuce and traditional circumcision for long prepuce and phimosis. Methods 750 cases of circumcision of prepuce were divided into two groups: 450 cases were treated with a new type of prepuce ligation (300 cases in the ligator group were treated with traditional circumcision), and the operative time and the amount of bleeding in the two groups were analyzed and compared. Pain score (visual analogue score, postoperative recovery time, incidence of postoperative infection, and postoperative appearance satisfaction). Results: all the operations were completed successfully. The operative time was 3.78 卤0.42 min, the intraoperative bleeding volume was 2.39 卤1.01ml, the intraoperative pain score was 0.14 卤0.36), the pain score was 0.32 卤0.78 at 6 hours after operation, and the pain score was 3.35 卤1.42 when the ring was removed. The total healing time of prepuce was 7.61 卤1.60 days, the appearance satisfaction was 97.8 / 450, the postoperative hemorrhage and hematoma were 0.89 / 450m, and the traditional operation group was 10.80 卤3.57ml / min (2.30 卤1.46) and 2.43 卤1.67) (8.57 卤1.37 d / d), respectively. All of the above eight indexes were significantly higher than that of the control group (P 0.05 / 300). The nocturnal pain score was 1.45 卤1.02before the removal of the ligator in the ligator group, and the edema of the inner plate and the lacuna of the prepuce after the removal of the ring was 0.89% 450m. In the traditional operation group, the nocturnal pain score (1.38 卤0.92) was 1.38 卤0.92 before the removal of the wire, and there was no significant difference between the above two items (P 0.05). There was no obvious infection and delayed healing in both groups. Conclusion: the new circumcision of prepuce has the advantages of short operation time, less bleeding, less pain, high degree of satisfaction, high safety, easy to accept and so on, which is worthy of clinical application.
【作者单位】：杭州市萧山第一人民医院泌尿外科;
【分类号】：R699.8

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