三种包皮环切术的临床应用比较

Comparative study of clinical effectiveness among three circumcision techniques

目的:比较包皮环切缝合器手术、包皮环切吻合器手术与传统包皮环切术治疗包皮过长或包茎患者的临床疗效。方法:回顾性分析我院泌尿外科门诊采用包皮环切缝合器手术(110例)、包皮环切吻合器手术(105例)、传统包皮环切术(520例)治疗包皮过长或包茎的735例患者的临床资料,比较三种术式的手术时间、术中出血量、术后并发症等指标。结果:包皮环切缝合器手术、包皮环切吻合器手术在手术时间和术中出血量等方面要优于传统包皮环切术(P<0.05);且三种术式在手术并发症上的差异均有统计学意义(P<0.05)。结论:三种术式各有优缺点,最后的术式选择需根据患者的病情、年龄、经济状况、对美观的要求和手术者对不同术式的手术技巧的熟悉程度等多方面来综合考虑决定。

Objective：To compare the clinical effectiveness among Shang Ring,sleeve and conventional circumcision techniques in treating redundant prepuce and phimosis.Method：We retrospectively analyzed the clinical data of 735 cases of circumcisions done by Shang Ring（n =110）,sleeve technique（n =105）and conventional technique（n =520）.Operation time,intra-operational bleeding and postoperative complications among three techniques were compared.Result：Shang Ring and sleeve technique demonstrated shorter operation time and less intra-operational blood loss than traditional technique（P 〈0.05）.Significant differences were found in postoperative complications among three techniques（P 〈0.05）.Conclusion：Each of three techniques has its own advantages and disadvantages.The treatment decision making should be individualized based on the consideration of patient’s condition,age,economic status,cosmetic appearance demand,surgeon’s skills and preference as a whole.