【摘要】 目的:比较使用一次性包皮环切缝合器行包皮环切缝合术、包皮环扎术、传统包皮环切术治疗包茎、包皮过长的临床疗效。方法:应用一次性包皮环切缝合器手术(A组)、包皮环扎术(B组)、传统包皮环切术(C组)对276例(每组92例)包茎、包皮过长患者进行治疗,观察手术时间、术中出血量、术中及术后24 h疼痛评分(VAS),术后感染、出血(血肿)、水肿、包皮畸形等并发症的发生,并作对比分析。结果:A组、B组手术时间分别为(6.52±2.45)min、(7.24±1.86)min;术中出血量分别为(1.93±0.82)ml、(1.51±0.72)ml;术中疼痛评分分别为(1.37±0.68)、(1.20±0.79)均低于C组(28.36±4.22)min、(9.52±3.29)ml、(3.06±0.75),(P<0.05);但B组术后24 h疼痛评分(3.18±0.82)明显高于A组(1.85±0.63)、C组(1.82±0.75),(P<0.05);A组术后总体并发症发生率为(5.43%)低于B组(14.13%)(P<0.05),A组与C组、B组与C组之间无差异(P>0.05)。结论:使用一次性包皮环切缝合器行包皮环切缝合术操作简单、安全、微创、美观,值得进一步研究开发与临床推广应用。更多还原

【Abstract】 Objective: To compare the clinical effects of the circumcision stapler,circumcision cerclage,and traditional circumcision in the treatment of phimosis and redundant prepuce. Methods: Using the circumcision stapler( group A),foreskin cerclage( group B),and traditional circumcision( group C),we treated 276 patients with phimosis or redundant prepuce. We made comparisons among the three groups in the operation time,intraoperative blood loss,intraoperative and 24-hour postoperative pain scores,and incidence of postoperative complications. Results: The operation time,intraoperative blood loss,and intraoperative pain score were( 6. 52 ± 2. 45) min,( 1. 93 ± 0. 82) ml,and 1. 37 ± 0. 68 in group A and( 7. 24 ± 1. 86) min,( 1. 51 ± 0. 72) ml,and 1. 20 ±0. 79 in group B,all significantly lower than( 28. 36 ± 4. 22) min,( 9. 52 ± 3. 29) ml,and 3. 06 ± 0. 75 in group C( P < 0. 05). The24-hour postoperative pain score was remarkably higher in group B than in A and C( 3. 18 ± 0. 82 vs 1. 85 ± 0. 63 and 1. 82 ± 0. 75,P< 0. 05). The incidence rate of postoperative complications was markedly lower in group A than in B( 5. 43% vs 14. 13%,P <0. 05),but with no significant differences between either A and C or B and C( P > 0. 05). Conclusion: The circumcision stapler,with its advantages of simple operation,minimal invasiveness,fewer complications,and better cosmetic result,deserves a wider clinical application.更多还原