液体伤口敷料在包皮环切术中的临床应用效果  

Clinical application of liquid wound dressing in circumcision

作　　者：王省博 杨荣超 金振华 魏云飞[1] 王伟[3] WANG Xing-bo;YANG Rong-chao;JIN Zhen-hua;WEI Yun-fei;WANG Wei(Department of Urology,The Affiliated Hospital of Nanjing University of Chinese Medicine,Nanjing,Jiangsu 210029,China;Department of Urology,Nantong Hospital Affiliated to Nanjing University of Chinese Medicine,Nantong,Jiangsu 226001,China;Department of Urology,Jiangsu Provincial Hospital of Integrated Traditional Chinese and Western Medicine,Nanjing,Jiangsu 210028,China)

机构地区：[1]南京中医药大学附属医院泌尿外科,江苏南京210029 [2]南京中医药大学南通附属医院泌尿外科,江苏南通226001 [3]南京中医药大学附属中西医结合医院泌尿外科,江苏南京210028

出　　处：《中华男科学杂志》2024年第11期1015-1018,共4页National Journal of Andrology

摘　　要：目的:观察液体伤口敷料在包皮环切术中的应用效果。方法:选择2021年8月至2022年12月南京中医药大学附属医院收治的包皮过长和包茎患者200例,均在局麻下行包皮环切术,根据术后不同的治疗方法分成观察组(液体伤口敷料)和对照组(碘伏纱布)各100例。比较两组患者的手术时间、术后出血、术后水肿、术后感染、术后瘢痕、术后切口渗血,术后4、24、72 h换药时疼痛评分等治疗效果。结果:观察组和对照组手术时间分别为(16.22±3.15)、(17.01±3.37)min,术后出血分别为12、14例,差异无统计学意义(P均>0.05);两组术后包皮水肿分别为9、23例,术后感染分别为6、17例,术后渗血分别为7、21例,术后瘢痕分别为5、14例,术后4 h疼痛评分分别为(6.71±1.02)、(7.04±0.92)分,术后24 h疼痛评分分别为(5.38±1.45)、(5.87±1.35)分,术后72 h换药时疼痛评分分别为(3.65±1.53)、(4.26±1.63)分,观察组术后水肿、术后感染、术后切口渗血、术后瘢痕发生率、术后4、24、72 h换药时疼痛评分明显低于对照组,差异具有统计学意义(P均<0.05)。结论:包皮环切术后患者应用液体伤口敷料可明显降低术后疼痛评分,减少术后出血渗血,降低术后水肿、感染可能,减轻术后瘢痕,推荐临床使用。Objective:To investigate the clinical application value of liquid wound dressing in circumcision.Methods:This retrospective study included 200 cases of redundant prepuce or phimosis undergoing circumcision in the Affiliated Hospital of Nanjing University of Chinese Medicine between August 2021 and December 2022.We divided the patients into two groups of an equal number to receive wound care with liquid wound dressing(the observation group)and iodine gauze dressing(the control group),respectively.We compared the operation time,postoperative bleeding,edema,infection,incision exudation and scarring,and pain scores during dressing change at 4,24 and 72 hours after surgery.Results:No statistically significant differences were observed between the observation and control groups in the operation time([16.22±3.15]vs[17.01±3.37]min,P>0.05)or postoperative bleeding(12 vs 14 cases,P>0.05).The patients in the observation group,compared with the controls,showed significantly lower incidences of postoperative edema(9 vs 23 cases),infection(6 vs 17 cases),incision exudation(7 vs 21 cases)and scarring(5 vs 14 cases),and lower pain scores during dressing change at 4 hours(6.71±1.02 vs 7.04±0.92),24 hours(5.38±1.45 vs 5.87±1.35)and 72 hours after surgery(3.65±1.53 vs 4.26±1.63)(all P<0.05).Conclusion:For postoperative wound care of the patients undergoing circumcision,liquid wound dressing can evidently reduce postoperative pain,incision bleeding,edema,infection and scarring,and therefore deserves clinical promotion.

关 键 词：液体伤口敷料 包皮过长 包茎 一次性包皮环切缝合器 

分 类 号：R699.8[医药卫生—泌尿科学]