中国商环在成年男性包皮环切术中的应用效果观察  

Effect of Chinese Shang Ring Applied to Circumcision in Male Adults

作　　者：韦国强[1] 张迅[1] 梁季鸿[1] 申树林[1] 宋卫儒[1] 李广裕[1] 周艳丽[1] 莫婷[1] 黄琨[1] 

机构地区：[1]广西医科大学第一附属医院男性科,南宁市530021

出　　处：《广西医学》2014年第4期439-441,共3页Guangxi Medical Journal

基　　金：广西自然科学基金资助项目(NO2012jjAA40058)

摘　　要：目的观察中国商环在包皮环切术的应用效果。方法 1 100例包皮患者均采用中国商环行包皮环切术。观察手术时间、术后出血、术后切口水肿、裂开、疼痛评分及切口愈合时间。结果 1 100例患者中顺利完成包皮环切术1 085例。手术时间为(5.0±1.0)min;出血量均少于5 ml;术后轻度水肿868例,中度水肿196例,重度水肿21例。术后无裂开213例,轻度裂开658例,中度裂开167例,重度裂开47例。术后24 h疼痛评分为(3.1±1.8)分,拆环时为(7.8±1.9)分;折环时疼痛评分明显大于术后24 h评分(P<0.05);愈合时间为(25.6±4.8)d。结论中国商环包皮环切术操作简单、手术时间短、出血少,但拆环时疼痛明显,术后切口水肿、裂开发生率高,切口愈合时间较长。Objective To observe the clinical effects of Chinese Shang Ring applied to circumcision in male adults. Methods A total of 1100 adults with phimosis or redundant prepuce underwent circumcision with Chinese Shang Ring. The clinical data were assessed concerning the duration of procedure,postoperative hemorrhage,edema,dehiscence of wound,postoperative pain score and wound healing time. Results The circumcisions were performed successfully in 1085 of 1100 patients. The duration of procedure was（ 5. 0 ± 1. 0） minutes. The blood loss was less than5 ml. There were 868 cases of mild edema,196 cases of moderate edema and 21 cases of severe edema after operation.There were 213 cases of none of dehiscence,658 cases of mild dehiscence,167 cases of moderate dehiscence and47 cases of severe dehiscence after operation. The pain score was（ 3. 1 ± 1. 8） 24 hours after operation,which was（ 7.8 ±1.9） when removing the ring,the latter was significantly larger than the former（ P〈0.05）. The wound healing time was（ 25. 6 ± 4. 8） days. Conclusion The circumcision with Chinese Shang Ring is easy and simple in performance,with less operative time and blood loss,more significant pain of removing the ring,higher incidences of postoperative edema and dehiscence of wound,and longer wound healing time.

关 键 词：包皮过长 包茎 包皮环切术 中国商环 

分 类 号：R697.1[医药卫生—泌尿科学]