免打结缝线系带定位联合敷贴定位在一次性包皮环切缝合器中的应用  

Knot-free suture and frenulum positioning combined with application positioning using a disposable circumcision suture device in circumcision

作　　者：沈敏强[1,2] 肖鑫 于冬冬 施田力 SHEN Min-qiang;XIAO Xin;YU Dong-dong;SHI Tian-li(Department of Urology,Huzhou Central Hospital,Huzhou,Zhejiang 313000,China;Department of Urology,Central Hospital Affiliated to Huzhou Normal College,Huzhou,Zhejiang 313000,China)

机构地区：[1]湖州市中心医院泌尿外科,浙江湖州313000 [2]湖州师范学院附属中心医院泌尿外科,浙江湖州313000

出　　处：《中华男科学杂志》2022年第11期1015-1019,共5页National Journal of Andrology

摘　　要：目的:探讨免打结缝线系带定位联合敷贴定位在包皮环切术(一次性包皮环切缝合器)中的临床疗效。方法:分析2021年12月至2022年5月160例包茎及包皮过长患者的临床资料,随机分为观察组80例和对照组80例,观察组采用免打结缝线系带定位联合敷贴定位的包皮环切术(一次性包皮环切缝合器),对照组采用常规方法的包皮环切术(一次性包皮环切缝合器)。观察两组的手术时间,系带过短的发生率,系带错位的发生率,术后6 h视觉模拟疼痛评分(VAS)。结果:观察组与对照组手术时间[8.00(8.00,9.00)min vs 5.00(5.00,5.00)min],系带过短的发生率(0 vs 8.75%)及系带错位的发生率(0 vs 7.5%)比较,差异有统计学意义(P<0.05);术后6 h VAS评分[2.60(2.00,3.00)分vs 2.55(2.00,3.00)分]比较,差异无统计学意义(P>0.05)。结论:免打结缝线系带定位联合敷贴定位的包皮环切术(一次性包皮环切缝合器)是一种安全有效的方法,患者满意度高,临床值得推广。Objective:To explore the effect of knot-free suture and frenulum positioning combined with application positioning(KFS-FP+AP)in circumcision using a disposable circumcision suture device.Methods:We retrospectively analyzed the clinical data on 160 cases of circumcision for phimosis or redundant prepuce by KFS-FP+AP(the observation group,n=80)or by routine circumcision(the control group,n=80)with a disposable circumcision suture device from February 2021 to December 2021.We recorded the operation time,incidence of frenulum breve,incidence of frenulum dislocation,and Visual Analog Scale(VAS)scores at 6 hours after surgery,and compared them between the two groups of patients.Results:The operation time was longer in the observation than in the control group(8.00[8.00,9.00]min vs 5.00[5.00,5.00]min),and the incidence rates of frenulum breve(0 vs 8.75%,P<0.05)and frenulum dislocation(0 vs 7.5%,P<0.05)significantly lower in the former than in the latter group.There were no statistically significant difference in the VAS scores between the observation and the control groups(2.60[2.00,3.00]vs 2.55[2.00,3.00],P>0.05).Conclusion:KFS-FP+AP with a disposable circumcision suture device is a safe and effective method of circumcision,with high satisfaction of the patients and worthy of clinical promotion.

关 键 词：免打结缝线 系带定位 敷贴定位 包皮环切术 一次性包皮环切缝合器 

分 类 号：R699.8[医药卫生—泌尿科学]