凡士林纱布-纱布双层加压包扎法对隐匿性阴茎术后疗效的影响  

Effect of vaseline gauze-double-layer compression dressings on postoperative efficacy of concealed penis

作　　者：杨昊璇 陈宏禹 张婉泽 薛文勇[1] 马子越 齐进春[1] YANG Hao-xuan;CHEN Hong-yu;ZHANG Wan-ze;XUE Wen-yong;MA Zi-yue;QI Jin-chun(Department of Urology,the Second Hospital of Hebei Medical University,Shijiazhuang 050000,China;Department of Clinical Medicine,School of Basic Medical Sciences,Hebei Medical University,Shijiazhuang 050017,China)

机构地区：[1]河北医科大学第二医院泌尿外科,河北石家庄050000 [2]河北医科大学基础医学院临床医学系,河北石家庄050017

出　　处：《河北医科大学学报》2024年第8期934-939,共6页Journal of Hebei Medical University

基　　金：河北省重点研发计划项目(20377724D);河北省医学科学研究课题计划(20240110);河北省医学科学研究课题计划(20230046)。

摘　　要：目的通过分析隐匿性阴茎术后不同内层伤口敷料对局部伤口恢复的影响情况,探讨隐匿性阴茎术后更合适的伤口敷料及包扎方法。方法回顾性分析于我院治疗的158例隐匿性阴茎患儿临床资料、术后恢复情况、第一次换药用时及患者换药满意度。根据使用内层伤口敷料种类分为3组(A.无菌纱布组,B.碘伏纱布组,C.凡士林纱布组),分别统计各组出血、感染、粘连情况,分析不同敷料对术后并发症产生的影响。结果C组出血例数与粘连例数均少于A、B组(P<0.05)。感染例数上三者差异无统计学意义。C组平均换药时间短于A、B组(P<0.05)。3组中换药时间比较,粘连越严重,换药时间越长,反之换药时间越短。C组换药满意度(90.2%)相对于A、B组更高(P<0.05)。结论凡士林纱布-纱布双层加压包扎法成本低廉,效果显著,有效减少出血、粘连及换药时间,患者满意度高,值得在临床上推广。Objective To analyze the impact of different inner wound dressings on local wound recovery after surgery for concealed penis,and to explore more appropriate wound dressings and bandaging methods after surgery for concealed penis.Methods A total of 158 children with concealed penis treated in our hospital were retrospectively analyzed including the clinical data,postoperative recovery,the first time of changing dressings,and patients'satisfaction with changing dressings.The patients were divided into three groups according to the application of the inner wound dressings(A.Sterile gauze group;B.Iodophor gauze group;C.Vaseline gauze group).The bleeding,infection,and adhesion in each group were calculated.The effects of different dressings on postoperative complications were analyzed.Results The numbers of bleeding and adhesion in group C were lower than those in groups A and B(P<0.05).There was no difference in the number of infected individuals among the three groups.The mean time of dressing changes was shorter in group C than in groups A and B(P<0.05).In the three groups,more serious adhesion led to longer time of dressing changes;conversely,less serious adhesion led to short time of dressing change.The patients'satisfaction with changing dressings was higher in group C(90.2%)than in groups A and B(P<0.05).Conclusion The vaseline gauze-gauze and double-layer compression dressing has the advantages of low cost and significant effect.It effectively reduces children's pain during dressing changes and is worthy of clinical promotion.

关 键 词：阴茎疾病 绷带 凡士林 

分 类 号：R697.1[医药卫生—泌尿科学]