一次性包皮环切缝合器手术与包皮环扎术、传统包皮环切术的临床疗效比较

发布时间：2019-06-21 17:17

【摘要】：目的:比较使用一次性包皮环切缝合器行包皮环切缝合术、包皮环扎术、传统包皮环切术治疗包茎、包皮过长的临床疗效。方法:应用一次性包皮环切缝合器手术(A组)、包皮环扎术(B组)、传统包皮环切术(C组)对276例(每组92例)包茎、包皮过长患者进行治疗,观察手术时间、术中出血量、术中及术后24 h疼痛评分(VAS),术后感染、出血(血肿)、水肿、包皮畸形等并发症的发生,并作对比分析。结果:A组、B组手术时间分别为(6.52±2.45)min、(7.24±1.86)min;术中出血量分别为(1.93±0.82)ml、(1.51±0.72)ml;术中疼痛评分分别为(1.37±0.68)、(1.20±0.79)均低于C组(28.36±4.22)min、(9.52±3.29)ml、(3.06±0.75),(P0.05);但B组术后24 h疼痛评分(3.18±0.82)明显高于A组(1.85±0.63)、C组(1.82±0.75),(P0.05);A组术后总体并发症发生率为(5.43%)低于B组(14.13%)(P0.05),A组与C组、B组与C组之间无差异(P0.05)。结论:使用一次性包皮环切缝合器行包皮环切缝合术操作简单、安全、微创、美观,值得进一步研究开发与临床推广应用。
[Abstract]:Objective: to compare the clinical efficacy of prepuce ring incision and suture, prepuce ring ligation and traditional foreskin ring incision in the treatment of phimosis and prepuce. Methods: 276 patients (92 cases in each group) with phimosis and prepuce were treated with one-off circumcised suture device (group A), circumcised prepuce (group B). The complications such as infection, hemorrhage (hematomas), edema and prepuce deformity were observed during and 24 hours after operation, and the complications such as infection, hemorrhage (hematomas), edema and prepuce deformity were observed and analyzed. Results: the intraoperative pain score of group A and group B was (6.52 卤2.45) min, (7.24 卤1.86) min; (1.93 卤0.82) ml, (1.51 卤0.72), (1.37 卤0.68), (1.20 卤0.79), respectively, which was lower than that of group C (28.36 卤4.22) min, (9.52 卤3.29) ml, (3.06 卤0.75), (). However, the postoperative pain score in group B (3.18 卤0.82) was significantly higher than that in group A (1.85 卤0.63), C) (1.82 卤0.63), () (5.43%), which was lower than that in group B (14.13%) (P 0.05). There was no difference between group B and group C (P 0.05). Conclusion: it is simple, safe, minimally invasive and beautiful to use a disposable prepuce ring suture device to perform prepuce circumferential suture, which is worthy of further research, development and clinical application.
【作者单位】：张家港市第一人民医院泌尿外科;
【分类号】：R699.8

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