HK型和Tara型两种包皮环套术的疗效评价

目的 探讨HK型和Tara型两种包皮环套术对包皮过长和包茎的治疗效果.方法 对本院2004年5月～2008年5月的200例HK型包皮环套术和200例Tara型包皮环套术患者的资料进行回顾性分析.结果 手术平均时间：HK犁环套术（8.21±0.54）min,Tara型环套术（10.23±0.67）min 术中出血量：HK型环套术（0.78±0.14）mL,Tara型环套术（0.32±0.11）mL 术后出血：HK环套术2例（1%）,Tara环套术0例 术后伤口感染和延迟愈合：HK环套术8例（4%）和Tara环套术3例（1.5%） 术后皮下线结和切口瘢痕形成：HK和Tara环套术均为0例.两种术式的手术时间、术中出血量差异有显著性（P〈0.05）,其他指标差异无显著性（P〉0.05）.结论 包皮环套术治疗成人和儿童包皮过长和包茎操作简便、出血少、副作用小,值得推广.伴有包皮严重粘连或尿道口病变的患者以开放手术为宜.

Evaluation of HK and Tara plastibell circumcision

Objective To evaluate the efficacy of HK and Tara plastibell circumcision to manage phimosis and redundant prepuce. Methods From May 2004 to May 2008, 200 cases received HK plastibell circumcision and 200 rcceived Tara plastibell circumcision in our hospital. A retrospective study was performed. Results The average operating time.. （8.21 ± 0.54）min for HK plastibell circumcision and （10.23± 0.67）min for Tara plstibell circumcision. The cases of bleeding during operation： 2（1%） in HK plastibell and 0 in Tara plastibcll. The cases of infection and delayed union： 8（4%） in HK plastibcll and 3（1.5%） in Tara plastibell. Thread bundle existed under foreskin after operation： 0 in both methods. Conclusion The two plastibell circumcisions are simple and convenient with fewer complications. Traditional circumcision is fitter for phimosis or redundant prepuce with severe adhesion and illness of the opening of urethra.