【摘要】 目的 比较一次性包皮吻合器与传统包皮环切术的临床疗效。方法 分析2013年3月至2014年3月采用一次性包皮吻合器与传统包皮环切术治疗的421例包皮过长或包茎患者的临床资料。年龄4岁10个月至57岁,平均23.7岁。其中241例采用一次性包皮吻合器行包皮环切术,180例行传统包皮环切术。结果 所有患者均顺利完成手术,吻合器组患者切缘整齐,美观。吻合器组在手术时间、术中出血量及包皮水肿消退时间方面均优于传统的包皮环切术,相比差异有统计学意义(P<0.05)。而术后并发症两者相比差异无统计学意义(P>0.05),吻合器组有5例(2.1%)并发症出现,均为术后12h内出现血肿:传统包皮环切组有3例(1.7%)出现并发症,其中2例为包皮血肿,1例为术后7d系带处出现感染化脓糜烂。术后3个月电话随访患者对包皮外观满意度,吻合器组随访到148例,其中1例肥胖患者因术后阴茎头显露不佳感觉不太满意;包皮环切组随访到126例,8例患者对术后外观不满意,其中7例感觉包皮两侧不对称,1例感觉性生活时系带处疼痛不适,经观察无明显缓解,横切纵缝延长系带后症状消失。结论 一次性包皮吻合器行包皮环切术临床疗效满意,手术简单,用时短,可做临床推广。更多还原

【Abstract】 Objective To compare the clinical efficiency of peritomy anastomoses device and traditional circumcision.Methods Clinical data of 421 patients with redundant prepuce or phimosis from March 2013 to March2014 who underwent peitomy anastomoses device(241 cases) or traditional circumcision(180 cases) were reviewed retrospectively.The mean age of the patients was 23.7 years(range from 4 years 10 months to 57years).Results All operations were finished successfully for the patients.The cutting-edge of peritomy anastomoses device group was much more concinnous.The peritomy anastomoses device group showed great advantages over the traditional circumcision group in operation time,blood loss and prepuce swelling subsiding(P<0.05).And the postoperative complications had no statistical difference between two methods(P>0.05).Five patients(2.1%) got prepuce haematoma in 12 hours after operation in peritomy anastomoses device group.Three patients(1.7%) in traditional circumcision group got postoperative complications,including two prepuce heamatoma and one prepuce frenulum infection.We followed up the satisfaction of the appearance 3 months after the operation.148 patients were followed in the peritomy anastomoses device group,and one fat patient was not satisfied because of glans not outrop enough.126 patients were followed in the traditional circumcision group,and eight patients were not satisfied.Seven of the eight patients felt that the prepuce was not symmetry,and another felt frenulum of prepuce hurt during intercourse,and felt better after fraenotomy.Conclusion Peritomy anastomoses device for circumcision is a convenient and safe technique,which merits to be applied in clinic.更多还原