| 一次性包皮环切缝合器与商环内环内置法包皮环切术的临床疗效比较 |
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| 引用本文： | 陈海潮,朱伟超,缪起龙,施小东. 一次性包皮环切缝合器与商环内环内置法包皮环切术的临床疗效比较[J]. 中华全科医学, 2016, 14(6): 915-917. DOI: 10.16766/j.cnki.issn.1674-4152.2016.06.010 |
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| 作者姓名： | 陈海潮 朱伟超 缪起龙 施小东 |
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| 作者单位： | 宁波大学医学院附属医院泌尿外科，浙江 宁波 315000 |
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| 基金项目： | 浙江省自然科学基金(LY15H010004) |
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| 摘 要： | 目的 观察比较一次性包皮环切缝合器及商环内环内置法行包皮环切缝合术治疗包茎、包皮过长的临床疗效。 方法 将2013年6月—2015年12月于宁波大学医学院附属医院泌尿外科行包皮环切术的260例患者分为一次性包皮环切缝合器术组(n=140)、商环术组(n=120)进行治疗。观察比较2组术式手术时间、术中出血量、术后24 h内疼痛评分、切口愈合时间、并发症发生率、外观满意率、治疗费用等有无差异。 结果 2组手术病例均顺利完成，一次性包皮环切缝合器组与商环内环内置法组手术时间及手术出血量差异无统计学意义。与一次性包皮环切缝合器组包皮环切术相比，商环内环内置法术后24 h以内疼痛评分高(P=0.002)。与商环内环内置法包皮环切术相比，一次性包皮环切缝合器组术后感染、水肿、切口裂开等并发症的发生率显著降低(P＜0.001)。一次性包皮环切缝合器组患者术后愈合时间明显比商环内环内置组短(P＜0.03)。但一次性包皮环切缝合器包皮环切术的费用相较于商环内环内置法更高(P＜0.001)。 结论 一次性包皮环切缝合器手术时间短、出血少，而且在术后疼痛评分、切口愈合时间、并发症发生率方面均较商环内环内置法及传统法更优，具有很高的推广价值。
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| 关 键 词： | 一次性包皮环切缝合器 商环 包皮环切术 临床效果 |
| 收稿时间： | 2016-02-24 |
Comparative study on clinical effects of disposable circunmcision suture device and Shang ring for redundant prepuce and phimosis |
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| Affiliation: | Department of Urology,the Affiliated Hospital of Medical School,Ningbo University,Ningbo,Zhejiang 315000,China |
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| Abstract: | Objective To compare the clinical effects of the disposable circunmcision suture device and Shang ring for redundant prepuce and phimosis. Methods Total 260 patients of redundant prepuce and phimosis were divided into disposable circunmcision suture device group(140 cases) and Shang ring group(120 cases).there were no significant statistical differences between two groups in local conditions and general conditions(P＞0.05). Results The surgery were successfully completed in both groups.The operative time and blood loss in both group had no significant difference.Compared with disposable circunmcision suture device group,Shang ring group had higher pain scores within 24 hours after the operation(P=0.002).Compared with Shang ring group,the postoperative infection,edema and wound dehiscence incidence was significantly reduced in disposable circunmcision suture device group(P＜0.001).In the disposable circunmcision suture device group,the healing time was significantly shorter than that in the Shang ring group(P＜0.03).But at the same time,the costs in the disposable circunmcision suture device group was higher(P＜0.001). Conclusion Disposable circunmcision suture device,with its advantages of 24 hours postoperative pain score,healing of incision and the rate of incision infection or cracking than Shang ring,has a wide introduction value. |
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