商环在糖尿病患者包皮环切术中的疗效观察  

Observation on the Effect of Shang Ring in the Circumcision of Patients with Diabetes

作　　者：刘翔[1] 耿和[1] 吴宗林[1] 施华娟[1] 朱洪炜[1] 唐炯[1] 张涛[1] 

机构地区：[1]上海市普陀区人民医院泌尿外科,上海200060

出　　处：《现代生物医学进展》2013年第7期1336-1338,共3页Progress in Modern Biomedicine

摘　　要：目的:评估商环在糖尿病患者包皮环切术中的临床疗效及其安全性。方法:选择54例拟行包皮环切术的糖尿病合并包茎的患者,其中26例采用传统包皮环切术(对照组),28例采用商环包皮环切术(商环组),分析和比较两组患者的手术时间、术中出血量、术后疼痛程度、术后恢复时间和术后感染的发生率。结果:对照组与商环组患者的手术时间分别为(28±7)和(9±2)分钟(P<0.05),术中出血量分别为(6.2±2.0)和(0.4±0.5)m(lP<0.05),术后疼痛视觉模拟评分分别为(5.3±1.5)和(3.9±1.3)分(P<0.05),术后恢复时间分别为(12±4)和(19±5)天(P<0.05),术后感染率分别为7.7%和10.7%(P>0.05)。与传统组相比,商环组患者的手术时间显著缩短,术中出血显著减少,术后疼痛显著减轻,术后恢复时间显著延长,但术后感染率无明显增加。结论:对糖尿病患者采用商环行包皮环切术,手术时间短、出血少,疼痛轻,术后恢复时间较长但护理方便,术后感染率无明显增加,是一项便捷、安全、有效的手术方式。Objective： To assess the clinical efficacy and safety of Shang Ring in the circumcision of patients with diabetes. Methods： A total of 54 males with diabetes and phimosis who were going to be treated with circumcision were selected, in which 26 cases were treated with traditional circumcision and 28 cases were treated with the Shang Ring circumcision. The operation time, intraoperative bleeding amount, postoperative pain degree, postoperative recovery time and incidence of postoperative infection were observed and compared between two groups. Results： In the control group and the Shang Ring group, the operation times were （28± 7） and （9± 2） minutes respectively, the intraoperative bleeding amounts were （6.2± 2.0） and （0.4± 0.5） ml respectively, the postoperative pain scores were （5.3± 1.5） and （3.9± 1.3） respectively, the postoperative recovery time were （12± 4） and （19± 5） days respectively and the inci- dences of postoperative infection were 7.7% and 10.7% respectively. The Shorter operation time, less intraoperative bleeding amount, loewer postoperative pain degree score, longer postoperative recovery time were found in the Shang Ring group than those in the control group（P〈0.05）. No significant difference of incidence of postoperative infection was found between two groups（P〉0.05）. Conclusion： Using Shang Ring in circumcision in males with diabetes had the advantages of shorter operation time, less intraoperative bleeding amount, loewer postoperative pain degree score, longer postoperative recovery time but convenient postoperative care. The incidence of postoperative infection was no more higher. So the Shang Ring circumcision was an easy, safe and efficient operation approach for the circumcision of patients with diabetes.

关 键 词：包茎 糖尿病 商环 包皮环切术 

分 类 号：R587.1[医药卫生—内分泌] R699.8[医药卫生—内科学]