三种包皮环切术手术效果分析  

Analysis on the surgical efficacies of three circumcision methods

作　　者：王瑞[1] 张天标[1] 郑涛[1] 张凯波 蔡乃宇 吕坤龙 南永浩 张卫星[1] WANG Rui;ZHANG Tianbiao;ZHENG Tao;ZHANG Kaibo;CAI Naiyu;LV Kunlong;NAN Yonghao;ZHANG Weixing(Department of Andrology,the First Affiliated Hospital of Zhengzhou University,He'nan,Zhengzhou 450000,China;Lankao Chinese Medicine Hospital,He'nan,Lankao 475300,China)

机构地区：[1]郑州大学第一附属医院男科,河南郑州450000 [2]河南省兰考县中医院,河南兰考475300

出　　处：《中国医药科学》2021年第11期8-11,共4页China Medicine And Pharmacy

基　　金：河南省科技惠民计划项目(182207310004)。

摘　　要：目的探讨传统包皮环切术、商环和一次性包皮环切缝合器三种手术方式的临床效果,为临床上合理选择包皮环切新技术提供经验。方法回顾性研究2018年1月至2019年12月郑州大学第一附属医院男科和兰考县中医院男科进行的2082例包皮环切术。根据手术方法分为传统组、商环组和缝合器组,传统组625例,商环组721例,缝合器组736例,三组患者年龄、包皮缺陷类型差异无统计学意义(P>0.05)。比较手术时间、术中出血量、术后疼痛、水肿消退时间、刀口愈合时间、感染、刀口裂开、血肿、患者满意度。结果缝合器组、商环组在手术时间、术中出血量上少于传统组,差异有统计学意义(P<0.05);术后疼痛评分,缝合器组低于商环组低于传统组,差异有统计学意义(P<0.05);术后水肿消退时间及刀口愈合时间,缝合器组低于传统组低于商环组,差异有统计学意义(P<0.05);术后感染,三组之间差异无统计学意义(P>0.05);刀口裂开和术后血肿,商环组和缝合器组少于传统组,差异有统计学意义(P<0.05);患者满意度,缝合器组高于商环组高于传统组,差异有统计学意义(P<0.05);术中转传统手术,缝合器组多于商环组,差异有统计学意义(P<0.05)。结论三种手术方式中缝合器组优于商环组和传统组,但传统手术仍是最后的补救措施。Objective To investigate the clinical efficacies of conventional circumcision,Shang ring and disposable circumcision stapler,so as to provide experience for rational option of new circumcision technology in clinic.Methods A total of 2082 cases of circumcision admitted to the Department of Andrology of the First Affiliated Hospital of Zhengzhou University and that of Lankao Chinese Medicine Hospital from January 2018 to December 2019 were researched retrospectively.They were divided into the conventional group(n=625),the Shang ring group(n=721)and the stapler group(n=736)according to the surgical methods.There were no statistically significant differences in age and prepuce defect types among the three groups of patients(P>0.05).The operation time,intraoperative hemorrhage volume,postoperative(pain,edema regression time,wound healing time,infection,wound split,hematoma and patients'satisfaction)were compared.Results The operation time and intraoperative hemorrhage volume of the stapler group and the Shang ring group were less than those of the conventional group,with statistically significant differences(P<0.05).The postoperative pain score of the stapler group was lower than that of the Shang ring group,which was lower than that of the conventional group,with stati stically significant difference(P<0.05).The regression time of postoperative edema and wound healing time in the stapler group were lower than those in the conventional group,which were lower than those in the Shang ring group,with statistically significant differences(P<0.05).There was no statistically significant difference in postoperative infection among the three groups(P>0.05).The wound split and postoperative hematoma in the Shang ring group and the stapler group were less than those in the conventional group,with statistically significant differences(P<0.05).The patients'satisfaction in the stapler group was higher than that in the Shang ring group,which was higher than that in the conventional group,with statistically significant difference(P<

关 键 词：包皮环切术 包皮环切缝合器 商环 并发症 

分 类 号：R699.8[医药卫生—泌尿科学]