定位切割平面的缝合器式包皮环切术疗效观察
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摘要
目的:观察使用定位切割平面的缝合器式包皮环切术治疗包茎和包皮过长的临床疗效。方法:250例患者随机分为两组,观察组123例,采用定位切割平面的缝合器式包皮环切术治疗;对照组127例,采用常规缝合器式包皮环切术治疗,观察两种包皮环切手术的手术时间、术中出血、系带对合、术后瘀斑、术后外观满意程度,并进行统计分析。结果:观察组和对照组手术时间分别为(7.17±1.42)min和(4.48±1.18)min;术中系带处出血分别为4.1%(5/123)和15.0%(19/127),系带对合不良分别为0.8%(1/123)和26.8%(34/127),术后瘀斑分别为21.1%(26/123)和41.7%(53/127),术后外观满意程度分别为98.4%(121/123)和92.9%(118/127),以上差异均具有统计学意义(P<0.05);观察组和对照组术中非系带处出血分别为1.6%(2/123)和4.7%(6/127),差异无统计学意义(P=0.164)。结论:定位切割平面的缝合器式包皮环切术可以在术中实现理想的切割,保证系带的准确对合,减少术中出血,提高术后外观满意度,临床效果良好,有推广应用价值。
Objective: To investigate the clinical effects of circumcision by surgical plane positioning with a disposable circumcision suture device in the treatment of phimosis and redundant prepuce. Methods: From September 2016 to June 2017,we treated250 patients with phimosis or redundant prepuce,127 by conventional circumcision( the control group) and the other 123 by surgical plane positioning with a disposable circumcision suture device( the observation group). We compared the operation time,intra-operative bleeding,preputial frenulum alignment,postoperative ecchymosis,and postoperative penile appearance between the two groups of patients. Results: Compared with the controls,the patients in the observation group showed significantly longer operation time( [4. 48 ± 1. 18]vs [7. 17 ± 1. 42]min,P < 0. 05),lower rates of intra-operative frenulum bleeding( 15. 0% [19/127]vs 4. 1%[5/123],P < 0. 05) and frenulum misalignment( 26. 8% [34/127]vs 0. 8% [1/123],P < 0. 05),higher incidence of postoperative ecchymosis( 41. 7% [53/127] vs 21. 1% [26/123],P < 0. 05),and higher satisfaction of the patients with the postoperative penile appearance( 92. 9% [18/127] vs 98. 4% [121/123],P < 0. 05). However,no statistically significant difference was found between the control and observation groups in intra-operative non-frenulum bleeding( 4. 7% [6/127] vs 1. 6% [2/123 ],P = 0.164). Conclusion: Circumcision by surgical plane positioning with a disposable circumcision suture device can effectively avoid preputial frenulum misalignment,reduce intra-operative bleeding,and improve postoperative penile appearance.
Objective: To investigate the clinical effects of circumcision by surgical plane positioning with a disposable circumcision suture device in the treatment of phimosis and redundant prepuce. Methods: From September 2016 to June 2017,we treated250 patients with phimosis or redundant prepuce,127 by conventional circumcision( the control group) and the other 123 by surgical plane positioning with a disposable circumcision suture device( the observation group). We compared the operation time,intra-operative bleeding,preputial frenulum alignment,postoperative ecchymosis,and postoperative penile appearance between the two groups of patients. Results: Compared with the controls,the patients in the observation group showed significantly longer operation time( [4. 48 ± 1. 18]vs [7. 17 ± 1. 42]min,P < 0. 05),lower rates of intra-operative frenulum bleeding( 15. 0% [19/127]vs 4. 1%[5/123],P < 0. 05) and frenulum misalignment( 26. 8% [34/127]vs 0. 8% [1/123],P < 0. 05),higher incidence of postoperative ecchymosis( 41. 7% [53/127] vs 21. 1% [26/123],P < 0. 05),and higher satisfaction of the patients with the postoperative penile appearance( 92. 9% [18/127] vs 98. 4% [121/123],P < 0. 05). However,no statistically significant difference was found between the control and observation groups in intra-operative non-frenulum bleeding( 4. 7% [6/127] vs 1. 6% [2/123 ],P = 0.164). Conclusion: Circumcision by surgical plane positioning with a disposable circumcision suture device can effectively avoid preputial frenulum misalignment,reduce intra-operative bleeding,and improve postoperative penile appearance.
引文
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[2]李佩丰,莫德扬,梁建波,等.缝合器式包皮环切术后的不良事件分析及处理(附376例报告).中华男科学杂志,2016,22(5):471-473.
[3]李晟,张磊,王大文,等.一次性包皮环切缝合器在男性包皮环切术中的临床应用.中华男科学杂志,2014,20(9):816-819.
[4]景治安,刘彦军,李纪华,等.使用一次性包皮环切缝合器手术后并发症分析及处理.中国现代医生,2014,52(20):115-117.
[5]黄云权,郑京,周旭晓,等.一次性包皮环切缝合器系带识别定位法手术防止术后系带错位的临床观察.中华男科学杂志,2017,23(5):422-426.
[6]李云龙,邓春华,严春寅,等.单人操作荷包环扎法包皮环切缝合器手术操作改良与疗效观察.中华男科学杂志,2015,21(7):669-671.
[7]任煜,阎家骏.使用一次性包皮环切缝合器手术方法改进的体会.中华男科学杂志,2015,21(6):541-544.
[8]Senkul T,Iserl C,Sen B,et al.Circumcision in adults:Effect on sexual function.Urology,2004,63(1):155-158.
[2]李佩丰,莫德扬,梁建波,等.缝合器式包皮环切术后的不良事件分析及处理(附376例报告).中华男科学杂志,2016,22(5):471-473.
[3]李晟,张磊,王大文,等.一次性包皮环切缝合器在男性包皮环切术中的临床应用.中华男科学杂志,2014,20(9):816-819.
[4]景治安,刘彦军,李纪华,等.使用一次性包皮环切缝合器手术后并发症分析及处理.中国现代医生,2014,52(20):115-117.
[5]黄云权,郑京,周旭晓,等.一次性包皮环切缝合器系带识别定位法手术防止术后系带错位的临床观察.中华男科学杂志,2017,23(5):422-426.
[6]李云龙,邓春华,严春寅,等.单人操作荷包环扎法包皮环切缝合器手术操作改良与疗效观察.中华男科学杂志,2015,21(7):669-671.
[7]任煜,阎家骏.使用一次性包皮环切缝合器手术方法改进的体会.中华男科学杂志,2015,21(6):541-544.
[8]Senkul T,Iserl C,Sen B,et al.Circumcision in adults:Effect on sexual function.Urology,2004,63(1):155-158.