中国商环包皮环切术的标准化操作对减少术后并发症的影响(附351例报告)

Standardized male circumcision with Shang Ring reduces postoperative complications:A report of 351 cases

目的:探讨中国商环包皮环切术标准化操作在减少术后并发症中的作用。方法:采用中国商环包皮环切术标准化操作对351例患者进行包皮环切手术,其中包茎患者46例,包皮过长患者305例,年龄4～58岁,平均年龄31岁。对术后出血、感染、水肿、伤口裂开进行观察。结果:主要并发症发生率为术后感染5例(1.42%),轻度水肿9例(2.56%),中度水肿5例(1.42%),伤口裂开6例(1.71%)。未发生术后出血。结论:术者掌握中国商环包皮环切术标准化操作并在手术中规范实施,对减少术后并发症的发生,提高商环包皮环切术后的满意度有重要的影响。对术者的标准化操作培训是推广正确实施商环包皮环切手术的重要步骤之一。

Objective：To investigate the effect of standardized male circumcision with Shang Ring in reducing postoperative complications.Methods：We performed standardized male circumcision with Shang Ring for 351 males aged 4-58（mean 31）years,46 with phimosis and 305 with redundant prepuce,and observed the complications,including postoperative bleeding,infection,edema,and wound dehiscence.Results：The main complications included infection（5 cases,1.42%）,mild edema（9 cases,2.56%）,moderate edema（5 cases,1.42%）,and wound dehiscence（6 cases,1.71%）,but no postoperative bleeding was observed.Conclusion：Using the standard protocol of circumcision with Shang Ring,well-trained male circumcision providers can significantly reduce postoperative complications and enhance the patient＇s satisfaction.Normalized training of the circumcision providers is essential for the popularization of standardized male circumcision with Shang Ring.