双极电凝止血在包皮环切术中的应用
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摘要
目的观察包皮环切术中使用双极电凝止血的术后疗效。方法将300例行包皮环切术的患者随机分为研究组(双极电凝止血)150例和对照组(电刀止血)150例。比较两组术中手术时间、血肿数量及术后感染率。结果研究组与对照组两组患者在手术时间、术中平均出血量、术后血肿数量、切口感染率方面进行比较,前者均明显少于后者,P <0.05,差异具有统计学意义。结论包皮环切术中采用双极电凝止血切口愈合较好且阴茎血肿数量及感染率较低,无不良反应,方便实用。
Objective To observe the postoperative efficacy of bipolar electrocoagulation for hemostasis in circumcision. Methods 300 patients undergoing circumcision were randomly divided into study group(bipolar electrocoagulation hemostasis) 150 cases and control group(electrosurgical hemostasis) 150 cases. The operation time, the number of hematoma and the postoperative infection rate were compared between the two groups. Results The study group and the control group were compared in terms of operation time, average intraoperative bleeding volume, number of hematoma after operation and incision infection rate. The former was significantly less than the latter, P < 0.05, the difference was statistically significant. Conclusion Bipolar electrocoagulation hemostasis incision in circumcision can heal well and the number and infection rate of penile hematoma are low. There are no adverse reactions and it is convenient and practical.
Objective To observe the postoperative efficacy of bipolar electrocoagulation for hemostasis in circumcision. Methods 300 patients undergoing circumcision were randomly divided into study group(bipolar electrocoagulation hemostasis) 150 cases and control group(electrosurgical hemostasis) 150 cases. The operation time, the number of hematoma and the postoperative infection rate were compared between the two groups. Results The study group and the control group were compared in terms of operation time, average intraoperative bleeding volume, number of hematoma after operation and incision infection rate. The former was significantly less than the latter, P < 0.05, the difference was statistically significant. Conclusion Bipolar electrocoagulation hemostasis incision in circumcision can heal well and the number and infection rate of penile hematoma are low. There are no adverse reactions and it is convenient and practical.
引文
[1]康照鹏,谭燕,欧阳海,等.双极电凝在包皮环切术中的疗效观察[J].世界最新医学信息文摘,2016,16(69):118-119.
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[6]Frank Hinman,Jr.Atlas of Urologic Surgery[M].北京:人民卫生出版社,2005:173-174.
[7]James Greenwood Jr.Two point coagulation:a new principle and instrument for applying coagulation current in neurosurgery[J].Am JSurg,2015,50(2):267-270.
[8]Sabel M.Operative Techniques In Breast Endocrine And Oncologic Surgery[M].Lippincott Williams&Willkins,2015:245-246.
[9]马小二,姬馨彤.鼠脑组织双极电凝损伤的实验研究[J].中国社区医师,2016,32(1):7-8.
[10]慕红兵.双极电凝在腹腔镜下全子宫切除术中的临床应用分析[J].中国继续医学教育,2017,9(12):118-119.
[11]于泓.双极电凝切除术治疗慢性扁桃体炎的疗效观察[J].中国继续医学教育,2017,9(9):138-139.
[12]Gozen AS,TeberD,Rassweiler JJ.Principles and initial experience of a new device for dissection and hemostasis[J].Minim Invasive TherAllied Technol,2007,16(1):58-65.
[13]Khanna S,Khuana S,Vij S.No clip,no ligature laparoscopic appendectomy[J].Surg Laparosc Endosc Per-cutan Technol,2004,14(4):201-203.
[14]关建朝.双极电凝止血和丝线结扎止血在包皮环切术中的疗效比较[J].现代中西医结合杂志,2010,19(24):3055-3056.
[15]甘宏斌.应用双极电凝行包皮环切术[J].华夏医学,2002,15(3):363.
[2]韦富梅,杨晓波,蒋俊俊,等.广西艾滋病高发区一般人群对包皮环切术认知宣教初步研究[J].中华男科学杂志,2012,18(5):391-396.
[3]Hargreave T.Male circumcision:towards a World Health Organisation normative practice in resource limited settings[J].Asian JAndrol,2010,12(5):628-638.
[4]李炎唐.泌尿外科手术并发症预防和处理[M].北京:人民卫生出版社,2014:398-399.
[5]梅骅.泌尿外科手术学[M].北京:人民卫生出版社,2008:533-534.
[6]Frank Hinman,Jr.Atlas of Urologic Surgery[M].北京:人民卫生出版社,2005:173-174.
[7]James Greenwood Jr.Two point coagulation:a new principle and instrument for applying coagulation current in neurosurgery[J].Am JSurg,2015,50(2):267-270.
[8]Sabel M.Operative Techniques In Breast Endocrine And Oncologic Surgery[M].Lippincott Williams&Willkins,2015:245-246.
[9]马小二,姬馨彤.鼠脑组织双极电凝损伤的实验研究[J].中国社区医师,2016,32(1):7-8.
[10]慕红兵.双极电凝在腹腔镜下全子宫切除术中的临床应用分析[J].中国继续医学教育,2017,9(12):118-119.
[11]于泓.双极电凝切除术治疗慢性扁桃体炎的疗效观察[J].中国继续医学教育,2017,9(9):138-139.
[12]Gozen AS,TeberD,Rassweiler JJ.Principles and initial experience of a new device for dissection and hemostasis[J].Minim Invasive TherAllied Technol,2007,16(1):58-65.
[13]Khanna S,Khuana S,Vij S.No clip,no ligature laparoscopic appendectomy[J].Surg Laparosc Endosc Per-cutan Technol,2004,14(4):201-203.
[14]关建朝.双极电凝止血和丝线结扎止血在包皮环切术中的疗效比较[J].现代中西医结合杂志,2010,19(24):3055-3056.
[15]甘宏斌.应用双极电凝行包皮环切术[J].华夏医学,2002,15(3):363.