中国商环包皮环切术与传统包皮环切术的临床对比研究  

A clinical comparative study of Chinese Shang Ring circumcision versus conventional circumcision

作　　者：程跃[1] 严泽军[1] 苏新军[1] 方海伟[1] 胡嘉盛[1] 吴科荣[1] 苏瑞[1] 马建伟[1] 

机构地区：[1]宁波大学医学院附属宁波市第一医院泌尿肾病中心,315010

出　　处：《中华泌尿外科杂志》2011年第5期333-335,共3页Chinese Journal of Urology

摘　　要：目的对比分析中国商环包皮环切术和传统包皮环切术的疗效和手术并发症。方法有完整随访资料的479例中国商环包皮环切术患者和354例传统包皮环切术患者，两组患者年龄、包皮情况比较差异无统计学意义（P〉0．05）。对比分析其手术时间、疼痛评分、失血量、术后并发症、术后外观满意情况、伤口愈合时间、治疗费用等。结果商环组和传统手术组手术时间分别为（5±1）、（27±5）min；出血量分别为（0．98±1．14）、（8．30士3．60）ml；手术时疼痛评分分别为0．25±0．54、3．29±1．57；术后24h疼痛评分分别为1．63土0．87、5．56土1．42；术后并发症发生率分别为6．89％（33／479）、13．28％（47／354）；创口愈合时间分别为（20±5）、（13±2）d；外观满意率分别为99．79％（478／479）、92．37％（327／354）；治疗费用分别为（871±52）、（554±46）元。与传统手术组相比，商环组手术时间短，失血量少，患者痛苦小，外观满意率高，并发症发生率低（P〈0．05）。但商环组创口愈合时间较长，治疗费用较高（P〈0．05）。结论用中国商环行包皮环切术是对传统包皮环切术的简化和改进，具有手术时间短、术中出血量少、疼痛轻、术后外观满意度高、患者易于接受等优点。Objective To compare the efficacy and complications of Chinese Shang Ring circum cision with conventional circumcision. Methods Clinical data of 479 cases of Chinese Shang Ring circumcision and 354 cases of conventional circumcision with complete follow up were analyzed. Comparisons were made between the two groups on operation time, pain score, blood loss, postoperative complications, postoperative satisfaction with penile appearance, wound healing time and treatment costs. Results There was no statistical difference in age and foreskin status between the two groups （P〈0.05）. For the Shang Ring group, the operation time was （54-1） min, blood loss was （0.98±1. 14） ml, pain score during operation was 0.25 ±0.54, 24-hour pain score after operation was 1.63 0.87, the postoperative complication rate was 6. 89% （33/479）, wound healing time was （20±5） d, the satisfaction rate of appearance was 99.79% （478/479）, and treatment cost was （871±52） yuan. For the conventional group, the operation time was （27±5） min, blood loss was （8.30±3. 60） ml, pain score during operation was 3.29±1.57, 24-hour pain score after operation was 5.56±1.42, the postoperative complication rate was 13.28% （47/354）, wound healing time was （13±2） d, satisfaction rate of appearance was 92.37% （327/354）, and treatment cost was （554±46） yuan. Compared with the conventional group, the Shang Ring group had a shorter operation time, less blood loss, less pain score, higher appearance satisfaction rate and a lower complication rate （P〈0.05）. But wound healing time was longer and treatment cost was higher in the Shang Ring group （P〈0.05）. Conclusions Chinese Shang Ring circumcision is simpler and an improved approach over conventional circumcision with shorter operative time, less blood loss, less pain, relatively lower complication rate and higher satisfaction and acceptability.

关 键 词：包皮环切术 中国商环 传统手术 选择性 

分 类 号：R699.8[医药卫生—泌尿科学]