小儿包皮环套术和环切术的临床比较

A comparison between plastibell circumcision and circumcision in children

目的 :探讨治疗小儿包皮过长、包茎的较佳手术方式。方法 :对 318例小儿包茎、包皮过长随机分为环套术 2 0 6例、环切术 112例 ,并进行随访 ,比较其治疗效果。结果 :手术时间分别为 ( 9± 1 5)和 ( 2 8± 5)min (P <0 .0 0 1) ;并发症发生率分别为 4 .85%和 15.18% (P <0 .0 0 1) ;术后护理工作量 ,环套术组明显少于环切术组。结论 :小儿环套术操作简单、耗时短、并发症少 ,值得推广。

Aim: To evaluate this two operation to manage phimosis and adherent prepuce. Methods:Three hundred and eighteen patients were randomised into two groups. Group 1 ( n=206 ) underwent plastibell circumcision and group 2 ( n=112 ) underwent circumcision. All patients were follow up for more than 4 weeks. The results were analyzed with u -test or chi-squre test. Results: The time spent for plastibell circumcision and circumcision were 9±1.5 and 28±5 minutes respectively ( P <0 001); The overal complication rates were 4.85% and 15.18% respectively ( P <0 001); The postoperative nursing with plastibell circumcision is simpler than that with circumcision. Conclusion: Plastibell circumcision is a preferred method for treatment of phimosis and adherent prepuce in children. [