一次性包皮环切缝合器与商环治疗包皮过长和包茎的疗效对比分析

目的：比较分析一次性包皮环切缝合器和商环治疗包皮过长和包茎的临床疗效。方法选取行包皮环切术的290例患者，应用一次性包皮环切缝合器手术145例（A组），应用商环手术145例（B组）。分别观察两组手术时间、术中及术后勃起疼痛评分、术中出血量、切口愈合时间、术后并发症（水肿、出血、感染、切口开裂）及患者满意度。结果两组患者手术时间及术后疼痛评分的差异均无统计学意义（均P＞0.05），术中勃起疼痛评分、术中出血量、切口愈合时间及术后并发症发生率的差异均有统计学意义（P＜0.05或0.01）。结论两种包皮环切术均获得满意效果。一次性包皮环切缝合器法可明显减轻围手术期疼痛，缩短切口愈合时间，降低术后（水肿、出血、感染、切口开裂）等并发症的发生率；而商环手术后出血和皮下血肿发生率较少。

Treatment of redundant prepuce and phimosis with disposable circumcision suture device versus ShangRingTM circumcision device

Objective To compare the application of disposable circumcision suture device with ShangRingTM circumci-sion device in treatment of redundant prepuce and phimosis. Methods Two hundred and ninety patients with redundant pre-puce and phimosis were enrol ed in the study, among whom 145 patients underwent circumcision with disposable circumcision suture device（group A） and another 145 patients with ShangRingTM circumcision device（group B）. The operative time, erectile pain score （VAS） during and after the operating, intraoperative bleeding volume, duration of wound healing, postoperative complications （edema, incision bleeding, infection, dehiscence） and satisfaction of patients were observed and compared be-tween two groups. Results There were no significant differences in operative time and erectile pain score （VAS） after the op-erating between two groups（P＆gt;0.05）. The pain score （VAS） during the operating was lower, the intraoperative bleeding vol-ume was less, the duration of wound healing was shorter and the postoperative complication rate was lower in group A than those in group B（P〈0.05 or 0.01）. Conclusion The results of circumcision using two devices are both satisfactory. The indi-cators of perioperative pain score, duration of wound healing and postoperative complications with disposable circumcision suture device are better;while the incidence of haemorrhage and ecchymoma is less for ShangRingTM circumcision device.