中国商环包皮环切手术653例分析

Analysis of circumcision with shang ring device in 653 cases

目的探讨中国商环包皮环切的手术治疗效果。方法收集2008年7月至2011年8月应用中国商环行包皮环切术653例的临床资料进行回顾性分析。结果653例中，650例成功行中国商环包皮环切术，手术时间平均（6±1）min，术中无出血，带环期间无出血、血肿形成、切口裂开、感染、商环脱落等；3例手术失败，改行传统包皮环切术。行商环包皮环切术者术后7—10d取环，648例伤口甲级愈合，2例伤口延期愈合。术后随访9—24个月，包皮外形美观，切缘整齐光滑，可见线状环行瘢痕，无狭窄环行成。结论中国商环包皮环切术具有手术方式标准化、操作简单、手术时间短、无出血、痛苦小、术后外形美观等优点，是包皮环切术的一种有效治疗手段。

Objective To investigate the therapeutic results of circumcision with Shang Ring as an alternative therapy of conventional circumcision. Methods We retrospectively evaluated the clinical data and investigated the size of Shang Ring, operation time, bleeding, wound dehiscence, infection and departure of the Shang Ring after circumcision with Shang Ring in 653 patients between July 2008 and August 2011. Results Circumcision with Shang Ring was successful in 650 patients, the mean operation time was （6 ± 1 ） min. There was no bleeding in operation, and without bleeding, haematoma, wound dehiscence, infection or departure of the Shang ring after circumcision. The ring was removed 7 to 10 days postoperatively. Among them, delayed wound healing occurred in 2 cases. Circumcision with Shang Ring was failed and then conventional circumcision was performed in 3 cases. The shape was good and cutting edge was regular, and only a linear scar without stenosis was seen during the follow-up of 9 to 24 months. Conclusion Circumcision with Shang Ring under the guidance of standard procedure has the advantages of simple procedure, short operation time, no bleeding, little pain and satisfactory appearance.