弹力网套在包皮环切手术后伤口的应用

Application of elastic net in dressing after circumcision

目的:探讨一种理想的包皮环切术后伤口加压包扎方法。方法:选择在我院外科小手术室行包皮环切手术患者250例,在均衡的条件下随机分为对照组和观察组各125例,对照组是在包皮环切术后伤口外层使用胶布加压包扎,观察组是在包皮环切术后伤口外层使用弹力网套加压包扎,观察2组患者在手术后伤口出现包皮系带水肿、龟头瘀血、包皮皮下瘀血、切口裂开等并发症的发生率。结果:2组患者在手术后伤口出现包皮系带水肿、龟头瘀血、包皮皮下瘀血、切口裂开作比较均有统计学差异(P﹤0.01)。结论:包皮环切术后伤口外层使用弹力网套加压包扎,可明显减少包皮系带水肿、龟头瘀血、包皮皮下瘀血、切口裂开的发生,伤口换药时疼痛轻,减轻病人的痛苦,易被患者接受。护理操作方便,减轻工作量,明显优胜于传统的外层使用胶布加压包扎,值得推广使用。

Objective：To explore an ideal pressure dressing method for circumcision. Methods ：250 patients undergoing circumcision in our out - patient surgery department were evenly randomized into observation and control groups, in the control group, the wounds were fixed with pressure conventionally using gauzes and proof fabric, while in the observation group the wounds were fixed by gauzes and elas- tic net. The two groups were compared regarding edema of frenumlum of prepuce, blood stasis in glans penis, subcutaneous blood stasis in foreskin , and the incidence of incision dehiscence. Results： The differences between the tow groups were statistically significant in edema of frenumlum of prepuce, blood stasis in glans penis, subcutaneous blood stasis in foreskin , and the incidence of incision dehiscence （ P〈 O. O1 ） . Conclusion：Applying elastic net on the wound of circumcision could obviously reduce edema of frenumlum of prepuce, blood stasis in glans penis, subcutaneous blood stasis in foreskin , the incidence of incision dehiscence, and it relieve the pain at changing dress- ing and is more acceptable for patients.