传统包皮环切术与包皮环切缝合器治疗儿童包茎的效果对比  

Comparison of the effects of traditional circumcision and circumcision suture device in the treatment of phimosis in children

作　　者：丁姣 DING Jiao(Liaoyang Third People’s Hospital,Liaoyang 111000,China)

机构地区：[1]辽阳市第三人民医院,111000

出　　处：《中国实用医药》2021年第32期68-70,共3页China Practical Medicine

摘　　要：目的对比儿童包茎采用传统包皮环切术与包皮环切缝合器治疗的效果。方法76例儿童包茎患儿,依据术式方案不同分为观察组及对照组,每组38例。观察组患儿行包皮环切缝合器治疗,对照组患儿行传统包皮环切术治疗。对比两组患儿的一般围手术期指标,术后并发症发生率,术后视觉模拟评分法(VAS)评分。结果观察组患儿的手术用时(5.79±1.06)min、伤口愈合时间(8.06±1.18)d短于对照组的(26.95±3.19)min、(13.62±2.04)d,失血量(2.26±1.08)ml少于对照组的(21.03±2.95)ml,外观满意度评分(91.62±3.15)分高于对照组的(76.95±5.06)分,差异具有统计学意义(P<0.05)。观察组患儿的术后并发症发生率5.26%低于对照组的23.68%,差异具有统计学意义(P<0.05)。观察组患儿术后1 h的VAS评分为(2.35±0.26)分,术后6 h的VAS评分为(0.24±0.18)分,均低于对照组的(5.79±0.35)、(3.01±0.16)分,差异具有统计学意义(P<0.05)。结论对儿童包茎采用包皮环切缝合器治疗的效果优于传统包皮环切术,前者更利于降低手术创伤和术后并发症发生率,且有助于缓解术后伤口疼痛度。Objective To compare the effect of traditional circumcision and circumcision suture device in the treatment of phimosis in children.Methods A total of 76 children with phimosis were divided into observation group and control group according to different surgical regimens.The observation group was treated with circumcision suture device,and the control group was treated with traditional circumcision.Both groups were compared in terms of general perioperative indicators,postoperative complication rate,postoperative visual analogue scale(VAS)score.Results The operation time(5.79±1.06)min and wound healing time(8.06±1.18)d of the observation group were shorter than(26.95±3.19)min and(13.62±2.04)d of the control group,the blood loss(2.26±1.08)ml was less than(21.03±2.95)ml of the control group,and the appearance satisfaction score(91.62±3.15)points was higher than(76.95±5.06)points of the control group.All the differences were statistically significant(P<0.05).The postoperative complication rate 5.26%of the observation group was lower than 23.68%of the control group,and the difference was statistically significant(P<0.05).VAS scores of the observation group were(2.35±0.26)points at 1 h postoperatively and(0.24±0.18)points at 6 h postoperatively,which were lower than(5.79±0.35)and(3.01±0.16)points of the control group,and the difference was statistically significant(P<0.05).Conclusion Circumcision suture device is better than that of traditional circumcision in the treatment of phimosis in children.The former is more conducive to reducing surgical trauma and postoperative complications,and helps to relieve postoperative wound pain.

关 键 词：包茎 儿童 包皮环切缝合器 传统包皮环切术 治疗效果 

分 类 号：R726.9[医药卫生—儿科]