改良袖套式包皮环切术治疗包茎或包皮过长的疗效分析

Curative effect analysis of improved sleeve type circumcision treat phimosis or phimosis

目的探讨改良袖套式包皮环切术对包皮过长及包茎的疗效及并发症的发生情况,从而为临床寻找一种更为合理的手术方式。方法选取2010年11月～2012年11月在本院住院治疗的包皮过长或包茎患者120例,分为改良袖套式包皮环切术组(60例)及袖套式包皮环切术组(60例),改良术式主要包括麻醉方面采用阴茎背浅静脉麻醉;切口采用四刀法定位,袖套式切除;缝合采用四象限缝合法及包扎凡士林。比较两组手术时间、出血量、术后疼痛时间及术后并发症(疼痛、血肿、水肿、感染)。结果术后疼痛时间、出血量及术后并发症(水肿、外观差)两组间差异有统计学意义(P<0.05),但手术时间及感染、血肿、粘连复发等方面差异无统计学意义(P>0.05)。结论经过改良的袖套式包皮环切术能最大限度地达到手术效果,又减少了术中及术后并发症的发生,是一种安全、有效的方法。

Objective To study the improved sleeve type circumcision for wrapping is too long and phimosis the curative effect and complications for clinical situation, thus to seek a more reasonable operation method. Methods One hundred and twenty patients of phimosis or redundant prepuce were selected and divided into sleeve type circumcision group （sixty cases） and sleeve type circumcision group （sixty cases）, improved operation mainly including the anesthesia penis back light intravenous anesthesia; The four incision knife method positioning, sleeve type resection; Suture 4-quadrant joint legal and bind vaseline. The two groups of operation time. Amount of bleeding, the duration of postoperative pain and postoperative eothplications （pain, hematoma, edema, infection） were compared. Results The duration of postoperative pain, amount of bleeding and postoperative complications （edema, appearance difference） difference had statistical significance between the two groups （P 〈 0.05）, but the operation time and infection, hematoma, adhesion recurrence, ete was not statistically significant difference （P 〉 0.05）. Conclusion The modified sleeve type circumcision can to maximize the operation effect, and reduce the intraoperative and postoperative complications, it is a kind of safe and effective method.