包皮环切吻合器与传统包皮环切术治疗包皮过长的临床疗效对比  

Comparison of the clinical effects of circumcision stapler and traditional circumcision in the treatment of excessive prepuce

作　　者：谢程国 张镜伟 邓业瀚[1] 喻昊骏 XIE Cheng-guo;ZHANG Jing-wei;DENG Ya-han(Department of Urology Surgery,Guangzhou First People's Hospital,Guangzhou 510180,China)

机构地区：[1]广州市第一人民医院泌尿外科,510180

出　　处：《中国实用医药》2020年第36期46-48,共3页China Practical Medicine

摘　　要：目的对比包皮过长患者行包皮环切吻合器与传统包皮环切术治疗的临床疗效。方法132例包皮过长患者,根据治疗方式不同分为对照组(45例)和观察组(87例),对照组行传统包皮环切术治疗,观察组行包皮环切吻合器治疗。将观察组患者根据年龄不同分为成人组(≥18岁,41例)和儿童组(<18岁,46例)。比较儿童组、成人组、对照组手术指标、愈合时间、并发症发生情况。结果成人组、儿童组手术时间、愈合时间短于对照组,术中出血量少于对照组,术中及术后视觉模拟评分法(VAS)评分低于对照组,差异均具有统计学意义(P<0.05);成人组手术时间(9.52±1.21)min、愈合时间(10.19±2/72)d长于儿童组的(8.90±1.03)min、(8.53±2.14)d,术中出血量(2.36±0.33)ml多于儿童组的(1.61±0.40)ml,但术中及术后VAS评分(0.81±0.20)、(1.84±0.47)分低于儿童组的(1.03±0.28)、(2.45±0.53)分,差异均具有统计学意义(P<0.05)。成人组、儿童组并发症发生率分别为9.76%、10.87%,均低于对照组的30.00%,差异具有统计学意义(P<0.05);成人组与儿童组并发症发生率比较差异无统计学意义(P>0.05)。结论不同年龄段患者行包皮环切吻合器治疗的效果存在差异,但相较传统包皮环切术造成的创伤与疼痛应激更小,患者恢复时间更快,安全性更高,值得临床推广。Objective To compare the clinical efficacy of circumcision stapler and traditional circumcision in the treatment of excessive prepuce. Methods A total of 132 patients with excessive prepuce were divided into control group(45 cases) and observation group(87 cases) according to different treatment methods. The control group was treated with traditional circumcision, and the observation group was treated with circumcision stapler. Patients in the observation group were divided into adult group(≥18 years, 41 cases) and children group(<18 years, 46 cases) according to their age. The surgical indicators, healing time and occurrence of complications of children group, adult group and control group were compared. Results The surgery time and healing time of adult group and children group were shorter than those of the control group, intraoperative blood loss was less than that of the control group, visual analogue scale(VAS) score during and after the surgery were lower than those of the control group. The difference was statistically significant(P<0.05). The surgery time(9.52±1.21) min and healing time(10.19±2.72) d of adult group were longer than(8.90±1.03) min and(8.53±2.14) d of children group, intraoperative blood loss(2.36±0.33) ml was more than(1.61±0.40) ml of children group, but VAS score during and after the surgery(0.81±0.20) and(1.84±0.47) points were lower than(1.03±0.28) and(2.45±0.53) points of children group, and the difference was statistically significant(P<0.05). The incidence of complications of adult group and children group were 9.76% and 10.87%, which were all lower than 30.00% of the control group, and the difference was statistically significant(P<0.05). There was no statistically significant difference in incidence of complications between adult group and children group(P>0.05). Conclusion There are differences in the effects of circumcision stapler in patients of different ages, but compared with traditional circumcision, the trauma and pain caused by the circumcision are smaller, t

关 键 词：包皮环切吻合器 传统包皮环切术 包皮过长 临床疗效 

分 类 号：R699.8[医药卫生—泌尿科学]