【摘要】 目的:观察使用一次性包皮环切缝合器治疗包茎和包皮过长的临床疗效及安全性。方法:将180例包茎和包皮过长患者随机分为缝合器组(包皮环切缝合器组,n=120)和传统组(背侧切开包皮环切手术组,n=60),观察两种包皮环切手术的出血量、手术时间、切口愈合时间、术后疼痛、水肿、切口美观度及术后并发症(瘀斑、血肿、感染及再手术率等)等指标。结果:缝合器组和传统组术中出血量分别为(2.3±1.3)ml和(15.6±2.9)ml;手术时间分别为(7.1±1.4)min和(22.6±4.6)min;切口愈合时间分别为(12.0±2.9)d和(16.3±3.1)d;术后24 h疼痛评分分别为(1.9±1.3)分和(5.2±1.7)分;水肿程度及切口美观度明显优于传统组(P<0.05);缝合器组不存在拆线疼痛,传统组需要拆线存在拆线疼痛。结论:使用包皮环切缝合器完成包皮环切手术具有操作简单、手术快捷、切口美观、并发症少及痛苦小等优点。更多还原

【Abstract】 Objective: To observe the clinical effect and safety of circumcision stapler in the treatment of phimosis and redundant prepuce. Methods: We treated 120 patients with redundant prepuce or phimosis using circumcision stapler and another 60 by conventional dorsal-incision circumcision. We observed intraoperative blood loss,operation time,postoperative pain,wound healing time,cosmetic appearance of the penis,and postoperative complications and compared them between the two groups of patients. Results: Stapler circumcision showed obvious advantages over the conventional method in intraoperative blood loss( [2. 3 ± 1. 3] vs[15. 6 ± 2. 9]ml),operation time( [7. 1 ± 1. 4]vs [22. 6 ± 4. 6]min),wound healing time( [12. 0 ± 2. 9]vs [16. 3 ± 3. 1]d),postoperative pain score( 1. 9 ± 1. 3 vs 5. 2 ± 1. 7),incision edema,and cosmetic appearance of the penis( all P < 0. 05). Besides,stapler circumcision exempted the patients from stitch-removal pain. However,the incidence rate of postoperative local ecchymosis was significantly higher in the circumcision stapler group than in the conventional circumcision group( 20. 8% vs 8. 3%,P < 0. 05).Conclusion: Circumcision stapler,with its advantages of easier manipulation,shorter operation time,better cosmetic penile appearance,less pain,and fewer complications,is superior to conventional circumcision in the treatment of phimosis and redundant prepuce.更多还原