自主研发的柔性套阴茎保护装置对包皮环切术后阴茎具有保护作用:一项前瞻性随机对照试验  

Penile protection with a self-developed flexible sleeve penile protection device after circumcision:a prospective randomized controlled trial

作　　者：拓鹏飞 陈克伟 刘鑫辰 朱国栋 贺会兴[1] 蔡涛 李宇轩[1] 赵勋 葛力源 张树栋[1] 马潞林[1] 郭巍 刘茁[1,2] TUO Pengfei;CHEN Kewei;LIU Xinchen;ZHU Guodong;HE Huixing;CAI Tao;LI Yuxuan;ZHAO Xun;GE Liyuan;ZHANG Shudong;MA Lulin;GUO Wei;LIU Zhuo(Department of Urology,Peking University Third Hospital,Beijing 100191;Department of Urology,Yan'an Branch of Peking University Third Hospital,Yan'an 716099,China)

机构地区：[1]北京大学第三医院泌尿外科,北京100191 [2]北京大学第三医院延安分院泌尿外科,陕西延安716099

出　　处：《现代泌尿外科杂志》2024年第4期363-367,共5页Journal of Modern Urology

基　　金：北京大学第三医院创新转化基金项目(No.BYSYZHZB2021108)。

摘　　要：目的探讨一种柔性套阴茎保护装置对包皮环切患者术后疼痛和伤口水肿的缓解作用。方法纳入2023年2月1日—2023年5月31日北京大学第三医院延安分院行包皮环切术的54例患者作为研究对象。采用随机数表法将患者分为试验组27例、对照组27例,试验组患者术后使用柔性套阴茎保护装置,对照组患者术后使用传统纱布包扎的方法,比较两组患者术后疼痛、伤口水肿和并发症发生情况。结果在疼痛方面,试验组术后6 h[(1.7±0.9)分vs.(3.3±1.9)分,P<0.001]和术后第2天[(2.0±1.3)分vs.(3.3±1.3)分,P<0.001]的疼痛评分均明显低于对照组,两组术后第4天和第7天的疼痛评分差异无统计学意义(P>0.05)。在水肿方面,试验组在术后第2天[(2.0±1.0)分vs.(4.0±0.8)分,P<0.001]、术后第4天[(1.5±1.2)分vs.(2.6±0.9)分,P<0.001]和术后第7天[(0.9±1.3)分vs.(2.3±1.5)分,P<0.001]的水肿评分均明显低于对照组。在并发症方面,两组差异无统计学意义(P>0.05)。结论在接受包皮环切术的患者中使用柔性套阴茎保护装置有减少术后早期疼痛和减轻水肿的显著效果,在临床上有一定的应用价值,值得推广。Objective To investigate the protective effects of aflexible sleeve penile protection device on reducing postoperative pain and wound edema in patients after circumcision.Methods A total of 54 patients who underwent circumcision at Yan an Branch of Peking University Third Hospital during Feb.1 and May 31,2023 were enrolled.The patients were randomly divided into the experimental group and control group,with 27 patients in either groups.Patients in the experimental group were treated with a flexible sleeve penis protection device after surgery,and patients in the control group were treated with traditional gauze bandage after surgery.Postoperative pain,wound edema and complications were compared between the two groups.Results In terms of pain,the visual analogue scale of the experimental group was significantly lower at 6 hours[(1.7±0.9)vs.(3.3±1.9),P<0.001]and 2 days[(2.0±1.3)vs.(3.3±1.3),P<0.001]after surgery than that of the control group,but there were no statistically significant differences between the two groups on the 4th and 7th postoperative days(P>0.05).In terms of edema,the edema score of the experimental group was significantly lower than that of the control group on the 2nd postoperative day[(2.0±1.0)vs.(4.0±0.8),P<0.001],the 4th postoperative day[(1.5±1.2)vs.(2.6±0.9),P<0.001],and the 7th postoperative day[(0.9±1.3)vs.(2.3±1.5),P<0.001].There was no statistically significant difference in the incidence of complications between the two groups(P>0.05).Conclusion The flexible sleeve penile protection device has significant effects of reducing early postoperative pain and reducing edema in patients undergoing circumcision.

关 键 词：包皮过长 包茎 包皮环切术 随机对照试验 阴茎保护装置 

分 类 号：R691.1[医药卫生—泌尿科学]