精准划线法包皮环切器辅助改良包皮环切术初步经验附41例应用报告

Precise marking method assisted modified circumcision with a disposable foreskin circumcision device-Preliminary experience and report of 41 cases

目的:通过精准划线法包皮环切器辅助改良包皮环切术,探讨该术式的安全性、可行性和技术要点。方法:回顾性分析2021年2月至2023年1月实施精准划线法包皮环切器改良包皮环切术41例作为观察组,同期行传统包皮环切器辅助包皮环切术60例作为对照组,比较分析两组患者吻合切缘至冠状沟距离、术后勃起牵拉感、水肿、血肿、术后感染、是否存在性交痛等指标。结果:观察组患者术后3个月有勃起牵拉感人数低于对照组(P<0.05),性交痛人数低于对照组(P<0.05),观察组患者切缘至冠状沟距离更接近0.5 cm(P<0.05)。结论:精准划线法包皮环切器辅助改良包皮环切术相比传统包皮环切器辅助包皮环切术能够更加精准控制切缘位置,降低术后勃起牵拉感和性交痛发生率,是一种可行的、安全的手术方式。

Objective:To explore the safety,feasibility,and technical points of the improved circumcision procedure assisted by a precise marking method circumcision device.Method:A retrospective analysis was conducted on 41 cases of modified foreskin circumcision using precise marking method in the urology department of our hospital from February 2021 to January 2023 as the obser¬vation group,and 60 cases of traditional foreskin circumcision assisted by traditional foreskin circumcision during the same period as the control group.Compare and analyze indicators such as the distance from the anastomotic margin to the coronal sulcus,postoperative erectile tension,edema,hematoma,postoperative infection,and the presence of sexual intercourse pain between two groups of pa¬tients.The number of patients in the observation group who experienced erectile tension at 3 months after surgery was lower than that in the control group(P<0.05),and the number of patients with sexual pain was lower than that in the control group(P<0.05).The distance from the incision edge to the coronal sulcus was closer to 0.5 cm in the observation group(P<0.05).Conclusion:Com¬pared with traditional circumcision,the precise marking method assisted by a modified circumcision device can more accurately control the position of the cutting edge,reduce the incidence of postoperative erectile tension and sexual pain,and is a feasible and safe surgical method.