小儿包皮环套术与环切术的临床分析

Aretrospective clinical analysis between plastibell circumcision and circumcision in children

目的探讨小儿包皮过长、包茎的手术较佳方式。方法对1997年至2005年826例（随机分为环套术631例、环切术195例）小儿包茎、包皮过长进行回顾性分析，采用Χ^2检验。结果手术时间分别为（4±1）min和（20±5）rain（P〈0．01）；总并发症发生率分别为5．23％（33／631）和18．97％（37／195）（P〈0．01）；术后护理工作量：环套术组明显简单于环切术组。结论小儿包皮过长、包茎以包皮环套术为优。

Objective To evaluate the two operative methods to manage phimosis and adherent prepuce in children. Methods 826 patients were randomized into two groups. Group 1 （ n = 631） underwent plastibell eireumelsion and group 2（ n = 195） underwent elrcumeislon. A retrospective study was performed for 826 cases of phimosis and adherent prepuce from 1997 to 2005. The results were analyzed with Chisquare test. Results The average operating time on plastibell circumcision and circumcision were （4±1 ） minutes and （20 ±5 ） minutes respectively（ P 〈 0.01 ） ; The overall cimplication rates were 5.23 （33/631） and 18.97 % （37/195） respectively（ P 〈 0.01 ） ; The pestoperative nursing service of plastibell circumcision was much less complicated than that of circumcision. Conclusion The plastibell circumcision is a preferred approach for phimosis and adherent prepuce in children.