徒手分离包皮粘连后外用中药浸洗30例与包皮环形切割吻合术30例治疗包茎的分析  

Analysis of 30 cases of phimosis treated by manual separation of prepuce adhesion and external traditional Chinese medicine immersion after separation and 30 cases of prepuce circular cutting and anastomosis

作　　者：杜大军[1] Du Dajun(Department of Surgery,the Traditional Chinese Medical Hospital of Suining County,Xuzhou City,Jiangsu Province,Jiangsu Xuzhou 221200)

机构地区：[1]江苏省徐州市睢宁县中医院外科,江苏徐州221200

出　　处：《中国社区医师》2021年第32期23-24,共2页Chinese Community Doctors

摘　　要：目的:对比徒手分离包皮粘连分离后外用中药浸洗与包皮环形切割吻合术治疗包茎的效果。方法:2016年7月-2021年8月收治包茎患儿60例,随机分为两组,各30例。A组采用徒手分离包皮粘连后外用中药浸洗;B组采用包皮环形切割吻合术治疗。比较两组治疗效果。结果:A组治疗后0级症状比例高于B组,差异有统计学意义(P<0.05)。A组手术时长及切口愈合时长均低于B组,差异有统计学意义(P<0.05)。A组治疗后无不良症状的比例高于B组,差异有统计学意义(P<0.05)。结论:A组患儿治疗效果优于B组,且A组术后不良反应少、治疗时间短。Objective:To compare the effects of manual separation of prepuce adhesion and external traditional Chinese medicine immersion after separation and prepuce circular cutting and anastomosis in the treatment of phimosis.Methods:From July 2016 to August 2021,60 children with phimosis were selected.They were randomly divided into two groups with 30 cases in each group.Group A was treated with manual separation of prepuce adhesion and external traditional Chinese medicine immersion after separation.Group B was treated with prepuce circular cutting and anastomosis.We compared the therapeutic effects of the two groups.Results:The proportion of grade 0 symptoms in group A was higher than that in group B,the difference was statistically significant(P<0.05).In group A,the operation time and wound healing time were lower than those in group B,the difference was statistically significant(P<0.05).The proportion of no adverse symptoms in group A was higher than that in group B,the difference was statistically significant(P<0.05).Conclusion:The therapeutic effect of group A is better than that of group B,and group A has less postoperative adverse reactions and short treatment time.

关 键 词：包皮粘连 中药浸泡 切割 吻合 

分 类 号：R699.8[医药卫生—泌尿科学]