【摘要】 目的:比较商环包皮组织剪切除术与电刀切除术治疗男性包皮过长或包茎患者的临床疗效。方法:对从2010年1月至2014年1月在接受商环包皮组织剪切除术或电刀切除术共542例患者进行回顾性研究,比较两种术式手术时间、手术时疼痛评分、术后24 h内疼痛评分、去环前24 h疼痛评分、去环时疼痛评分、去环后离开疼痛评分、伤口愈合天数、术后水肿的发生率、切口裂开发生率。结果:组织剪切除术与电刀切除术的手术时间分别为50~72(59.99±5.39)s和30~52(39.94±4.94)s(P<0.05),电刀组速度更快;手术时疼痛评分分别为0~3(1.02±0.74)分和0~3(1.08±0.59)分(P>0.05);术后24 h内疼痛评分分别为5~9(6.74±1.01)分和5~9(6.56±1.06)分(P>0.05);去环前24 h疼痛评分分别为0~3(1.14±0.69)分和0~3(1.10±0.64)分(P>0.05);去环时疼痛评分分别为3~5(3.56±0.47)分和4~6(4.77±0.58)分(P<0.05);去环后离开疼痛评分分别为2~5(2.73±0.74)分和2~4(2.85±0.75)分(P>0.05)。手术时疼痛评分、术后24 h疼痛评分、去环前24 h疼痛评分、去环后离开疼痛评分无差异,去环时疼痛评分电切组较组织剪组高。伤口愈合天数分别为11~17(14.11±1.26)d和21~58(39.78±7.55)d(P<0.05),组织剪组较电刀组愈合时间短;术后切口裂开的发生率分别为4.03%(17/422)和9.17%(11/120)(P>0.05)。在术后外观方面,前后两者的受术者满意率均为100%。结论:电刀切除术与组织剪切除术相比速度更快、切缘创面外观更整齐,组织剪切除术相比电刀切除术去环时疼痛更轻、伤口愈合时间更短,更推荐组织剪切除法。更多还原

【Abstract】 Objective: To compare the clinical effects of Shang Ring scissor circumcision( SC) and electrotome circumcision( EC) in the treatment of redundant prepuce or phimosis. Methods: This retrospective study included 524 patients with redundant prepuce or phimosis,422 treated by SC and 120 by EC. We made comparisons between the two groups of patients in the operation time,intra- and post-operative pain scores,pain scores before,at and after ring removal,wound healing time,and incidence rates of postoperative edema and incision dehiscence. Results: The operation time was longer in the SC than in the EC group( [59. 99 ±5. 39] vs [39. 94 ± 4. 94] sec,P < 0. 05),but there were no significant differences between the two groups in the intraoperative pain scores( 1. 02 ± 0. 74 vs 1. 08 ± 0. 59,P > 0. 05) or the pain scores within 24 h after operation( 6. 74 ± 1. 01 vs 6. 56 ± 1. 06,P >0. 05),24 h prior to ring removal( 1. 14 ± 0. 69 vs 1. 10 ± 0. 64,P > 0. 05),and after ring removal( 2. 73 ± 0. 74 vs 2. 85 ± 0. 75,P> 0. 05) except at ring removal,which was remarkably lower in the SC than in the EC group( 3. 56 ± 0. 47 vs 4. 77 ± 0. 58,P <0. 05). The wound healing time was markedly shorter in the former than in the latter( [14. 11 ± 1. 26] vs [39. 78 ± 7. 55] d,P <0. 05),but the incidence rate of incision dehiscence showed no significant difference between the two groups( 4. 03% [17 /422] vs9. 17% [11 /120],P > 0. 05). The rate of postoperative satisfaction with the external penile appearance was 100% in both of the two groups. Conclusion: Shang Ring scissor circumcision is preferred to electrotome circumcision for its advantages of less pain at ringremoval and shorter healing time despite its longer operation time.更多还原