袖套式与传统式包皮环切术治疗小儿阴茎包皮过长及包茎的临床对比研究

目的探讨袖套式与传统式包皮环切术治疗小儿阴茎包皮过长及包茎的临床效果,以期提高临床诊治水平。方法选取2011年3月至2013年4月重庆市合川区妇幼保健院及重庆市合川区钱塘中心卫生院收治的300例小儿阴茎包皮过长及包茎患者为研究对象,分成传统式包皮环切术组和袖套式包皮环切术组,传统式包皮环切术组采用传统式包皮环切术,袖套式包皮环切术组采用袖套式包皮环切术,比较两组治疗后的临床效果情况。结果传统式包皮环切术组与袖套式包皮环切术组的手术时间[(46.6±8.3)min vs(32.8±7.7)min]、术中出血量[(11.9±2.5)mL vs(7.5±1.6)mL]、术后疼痛持续时间[(46.7±10.7)h vs(23.7±6.4)h]进行比较,差异均有统计学意义(P<0.05)。从术后并发症情况看,传统式包皮环切术在出血或血肿、伤口感染、阴茎水肿、包皮畸形、外形不美观、硬结形成、伤口粘连、伤口裂开等并发症共计125例次,并发症率为83.3%;袖套式包皮环切术相对应的并发症共60例次,并发症发生率为40.0%,两组并发症发生率比较,差异有统计学意义(P<0.05)。结论袖套式包皮环切术治疗小儿阴茎包皮过长及包茎临床效果满意,术后并发症发生率低。

Clinical Comparative Study of Cuff Style and Traditional Circumcision Treatment of Penis Prepuce and Phimosis of Children

Objective To explore the clinical effect of the sleeve type and traditional circumcision treatment for penis prepuce and phimosis,in order to improve the level of clinical diagnosis and treatment. Methods During Mar. 2011 to Apr. 2013 from Changqing Hechuan District Maternity and Child Health Care Hospital and Qiantang Center Hospital,300 cases of infantile penis prepuce and phimosis were selected as the research objects, and were divided into traditional circumcision group and sleeve circumcision, and the clinical effect of the two groups after treatment were compared. Results Traditional circumcision group compared with sleeve type circumcision group ： operation time [ （46.6 ± 8.3 ） rain vs （ 32.8 ± 7.7 ） min ], intraoperative blood loss [ （ 11.9 ± 2.5 ） mL vs （7.5 ±1.6） mL], duration of postoperative pain [ （46.7 ± 10.7 ） h vs （23.7±6.4） h 1, and the differences were statistically significant （P 〈 0.05 ）. As for the postoperative complications, a total of 125 cases of bleeding or hematoma, wound infection, penile edema, foreskin deformity, unsightly appearance, induration, wound adhesion, and wound dehiscence were observed in the traditional circumcision group,the complication incidence was 83.3%;a total of 60 cases of the complications were ohserved in the sleeve type circumcision group, the complications incidence was 40.0% ;and the difference between the two groups was statistically significant （ P 〈 0.05 ）. Conclusion The clinical effect of sleeve type circumcision treating the penis prepuce and phimosis is satisfying, with low postoperative complications incidence.