新型包皮套扎器和缝合器包皮环切术的疗效比较

发布时间：2019-01-14 10:21

【摘要】：目的:比较新型包皮套扎器行包皮环切术与缝合器包皮环切术治疗包皮过长及包茎的临床效果。方法:470例包皮环切术的患者随机分为两组,一次性使用包皮套扎器包皮环切术(套扎器组)和缝合器包皮环切术(缝合器组)各235例。分析和比较两组患者的手术时间、术中出血量、疼痛评分(视觉模拟评分法,VAS)、术后愈合时间、阴茎头充血水肿、排尿困难或者费力、术后明显出血及血肿、包皮裂开、延迟脱钉及愈合后外观满意度等。结果:所有手术均顺利完成,套扎器组的手术时间(3.83±0.42)min、术中出血量(2.41±1.01)ml、术中疼痛评分(0.20±0.47)分,术后6 h疼痛评分(0.48±0.94)分,术后包皮愈合时间(7.79±1.65)d,愈合后外观满意度95.8%(228/235),阴茎头充血水肿2.56%(6/235),排尿困难费力2.13%(5/235),术后明显出血及血肿1.28%(3/235);缝合器组上述指标分别为(7.49±1.84)min、(3.34±2.59)ml、(0.57±0.76)分、(3.42±1.12)分、(12.05±2.80)d、90.6%(213/235)、36.17%(85/235)、34.04%(80/235)、5.11%(12/235),以上9项指标两组均有显著差异(P均0.05)。术后第6天夜间疼痛评分套扎器组(1.34±1.07)分,缝合器组为(1.31±0.96)分;拆环时疼痛评分套扎器组(3.36±1.41)分,缝合器组脱钉前钉挂内裤时疼痛评分(3.49±1.22)分,两组差异均无统计学意义(P均0.05)。两组均无术后明显感染及延迟愈合情况发生,包皮裂开套扎器组1例,缝合器组2例。缝合器组延迟脱钉者8(3.40%)例。结论:使用新型套扎器包皮环切术更加安全、省时、美观、患者痛苦小、护理更简单。
[Abstract]:Objective: to compare the clinical effect of circumcision of prepuce with suture device in the treatment of long foreskin and phimosis. Methods: 470 cases of circumcision were randomly divided into two groups. The operative time, intraoperative bleeding volume, pain score (visual analogue score) after, VAS), penile head hyperemia and edema, dysuria or difficulty in urination, postoperative hemorrhage and hematoma, prepuce rupture were analyzed and compared between the two groups. Delayed denailing and external satisfaction after healing. Results: all the operations were completed successfully. The operative time of the ligator group was (3.83 卤0.42) min, intraoperative bleeding volume (2.41 卤1.01) ml, intraoperative pain score (0.20 卤0.47), and the postoperative pain score at 6 h after operation was (0.48 卤0.94). The healing time of prepuce was (7.79 卤1.65) days, the appearance satisfaction was 95.8% (228 / 235), the hyperemia and edema of penile head was 2.56% (6 / 235), the difficulty of urination was 2.13% (5 / 235). Postoperative hemorrhage and hematoma 1.28% (3 / 235); In the suture group, the above indexes were (7.49 卤1.84) min, (3.34 卤2.59) ml, (0.57 卤0.76), (3.42 卤1.12), (12.05 卤2.80) DX 90.6% (213 / 235), 36.17% (85 / 235), respectively. 34.04% (80 / 235), 5.11% (12 / 235), there were significant differences between the two groups (P 0.05). On the 6th day after operation, the nocturnal pain score was (1.34 卤1.07) in the ligator group and (1.31 卤0.96) in the suture group. The pain score was (3.36 卤1.41) in the ligator group and (3.49 卤1.22) in the suture group. There was no significant difference between the two groups (P 0.05). There was no significant postoperative infection and delayed healing in both groups, 1 case in the prepuce laceration and ligation group, 2 cases in the suture group. There were 8 cases (3.40%) with delayed denailing in the suture group. Conclusion: it is more safe, time saving, beautiful, less pain and simpler nursing to use the new kind of bandaging device for circumcision of prepuce.
【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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