商环包皮环切术与传统手术疗效比较  

Shang Ring circumcision versus conventional surgical procedures:Comparison of clinical effectiveness

作　　者：李会宁[1] 徐军[1] 屈栗明[1] 

机构地区：[1]陕西省第二人民医院泌尿外科,陕西西安710005

出　　处：《中华男科学杂志》2010年第4期325-327,共3页National Journal of Andrology

摘　　要：目的:对比分析商环包皮环切术和传统手术的疗效和手术并发症。方法:包皮环切术724例,按门诊单双分为商环包皮环切术组(402例)和传统手术组(322例),比较手术时间、失血量、疼痛评分(视觉模拟评分法,VAS),术后并发症,术后外观满意情况,性生活质量等。结果:手术均顺利,商环手术时间(4.70±1.30)min,失血量(2.60±1.80)ml,术后外观满意度99.50%(400/402),国际勃起功能评分(IIEF-5评分)(23.45±3.43)分,传统手术组分别为(25.6±8.3)min,(11.20±3.50)ml,69.57%(224/322),(23.12±3.26)分,以上前3项均有统计学意义(P<0.05),第4项无统计学意义(P>0.05)。结论:商环包皮环切术具有手术时间短,术中出血少,疼痛轻,术后外观满意度高,受术者易于接受等优点。Objective：To compare the efficacy and complications of the Shang Ring circumcision with those of conventional surgical procedures.Methods：A total of 724 patients,521 with redundant prepuce and 203 with phimosis,were randomly assigned to receive the Shang Ring circumcision（n = 402） and conventional surgical procedures（n = 322）.Comparisons were made between the two groups in the surgical duration,blood loss,pain score,as well as postoperative complications,satisfaction with the penile appearance,and the quality of sexual life.Results：The surgical duration,blood loss,postoperative satisfaction and IIRF-5 score were（4.70 ± 1.30） min,（2.60 ± 1.80） ml,99.50%（400/402） and 23.45 ± 3.43,respectively,in the Shang Ring group as compared with（25.6 ± 8.3） min,（11.20 ± 3.50） ml,69.57%（224/322） and 23.12 ± 3.26 in the conventional surgery group,with statistically significant differences in the first three parameters（P〈0.01）,but not in IIRF-5 score（P〈0.05）.Conclusion：Compared with the conventional surgical procedures,the Shang Ring circumcision has the advantages of shorter operation time,less blood loss,mild pain,fewer complications,better penile appearance,lower expenses,and higher satisfaction and acceptance of the patients.

关 键 词：包皮环切术 选择性 传统手术 

分 类 号：R699.8[医药卫生—泌尿科学]