“一刀法”包皮环切术与传统包皮环切术的临床效果比较  

Comparison of the clinical efficacy of“one-cut”circumcision and traditional circumcision

作　　者：朱润 樊伟哲 李玉柱[1] 郭刚[1] 肖璐 刘炎忠 ZHU Run;FAN Weizhe;LI Yuzhu;GUO Gang;XIAO Lu;LIU Yanzhong(Third Medical Center,PLA General Hospital,Beijing 100039,China)

机构地区：[1]解放军总医院第三医学中心,北京100039

出　　处：《现代泌尿外科杂志》2023年第7期576-578,共3页Journal of Modern Urology

摘　　要：目的介绍“一刀法”包皮环切术的改良要点,比较“一刀法”与传统包皮环切术的临床疗效。方法回顾性分析2020年7月-2022年7月在解放军总医院第三医学中心进行包皮环切术的120例患者的临床资料,其中“一刀法”组60例,传统包皮环切手术组60例。比较两组患者手术时间、术后水肿时间、外观满意度、性生活改善程度。结果“一刀法”组患者手术时间[(19.2±7.4)min vs.(23.1±1.7)min]、水肿时间[(5.5±3.2)d vs.(9.6±5.5)d]均小于传统组(P<0.001),术后外观满意度分值[(3.6±0.5)分vs.(3.1±0.8)分]高于传统组(P<0.001),而两组性生活改善程度差异无统计学意义[(2.3±0.8)分vs.(2.0±0.7)分,P=0.080]。结论“一刀法”包皮环切术操作简单、手术时间短、术后恢复快、切口整齐美观,值得推广。Objective To introduce the key techniques of“one-cut”circumcision,and to compare its clinical efficacy with traditional circumcision.Methods A retrospective analysis was conducted on 120 cases of circumcision in our center during Jul.2020 and Jul.2022,including 60 cases in the“one-cut”group and 60 cases in the traditional circumcision group.The operation time,postoperative edema time,satisfaction with cosmetics and improvement of sexual life were compared between the two groups.Results Compared with the tradition group,the“one-cut”group had shorter operation time[(19.2±7.4)min vs.(23.1±1.7)min,P<0.001],shorter postoperative edema time[(5.5±3.2)d vs.(9.6±5.5)d,P<0.001],and higher satisfaction with cosmetics[(3.6±0.5)vs.(3.1±0.8),P<0.001],but there was no difference in improvement of sexual life between the two groups(P=0.08).Conclusion“One-cut”circumcision is easy to operate,with short operation time,fast postoperative recovery,neat incision and satisfactory appearance,which is worth popularizing.

关 键 词：包皮环切术 包皮过长 改良术式 一刀法 

分 类 号：R699[医药卫生—泌尿科学]