一次性包皮环切缝合器与吻合器治疗包皮过长和包茎的临床疗效对比  

Comparison research of disposable circumcision stitching instrument and peritomy anastomoses in the treatment of redundant prepuce or phimosis

作　　者：林剑峰[1] 梁福律 涂建平[1] 郭昭建[1] 范先明[1] 张遵俊[1] 叶振扬[1] 方荣金[1] 郑健忠[1] 

机构地区：[1]福建中医药大学附属厦门市第三医院泌尿外科,福建厦门361100

出　　处：《中国性科学》2016年第11期22-24,共3页Chinese Journal of Human Sexuality

摘　　要：目的:探讨一次性包皮环切缝合器与吻合器治疗包皮过长和包茎的治疗效果。方法:将2013年2月至2015年10月就诊我院的包茎和包皮过长患者,按手术方法分为一次性包皮环切缝合器组与吻合器组,对比一次性包皮环切缝合器与吻合器治疗包茎与包皮过长的疗效,并对两组临床资料进行对比。结果:两组患者手术时疼痛评分无明显差异(P均>0.05);手术时间、术中出血、术后疼痛评分、手术并发症、伤口愈合时间、术后包皮外观满意度及治疗费用的差异有统计学意义;包皮环切缝合器治疗包茎与包皮过长手术在术后疼痛评分、手术并发症、伤口愈合、术后外观满意度方面优于吻合器,而包皮吻合器在手术时间、手术中出血、手术费用方面优于缝合器(P均<0.05)。结论:包皮环切缝合器治疗包茎与包皮过长手术在术后疼痛评分、手术并发症、伤口愈合、术后外观满意度方面优于吻合器,而包皮吻合器在手术时间、手术中出血、手术费用方面优于缝合器。术前可依据患者的需要及经济条件等充分的解释并选择个性化的手术方式。Objectives： To explore the therapeutic effects of disposable circumcision stitching instrument and peritomy anastomoses in the treatment of redundant prepuce or phimosis. Methods： Curative effect of disposable circumcision stitching instrument and peritomy anastomoses in the treatment of phimosis and redundant prepuce were compared. Results： No obvious difference was found between pain score in the operation of two groups（ P〉0. 05）. Differences of operation time,intraoperative bleeding,postoperative pain score,surgical complications,wound healing time,postoperative foreskin exterior satisfaction and treatment cost were statistically significant（ P〈0. 05）. Conclusion： Postoperative pain score,surgical complications,wound healing,satisfaction with appearance of stapling of disposable circumcision stitching instrument are better than peritomy anastomoses. Operative time,bleeding in the operation,the operation cost of peritomy anastomoses are superior to the disposable circumcision stitching instrument. Doctors can choose the right means for the treatment according to different needs.

关 键 词：一次性包皮环切缝合器 一次性包皮吻合器 包皮过长 包茎 

分 类 号：R699.8[医药卫生—泌尿科学]