包皮环扎与包皮环切术的少年组与成年组治疗效果的研究

Research on Juvenile Group and Adult Group Treatment Effect and Cercl Age of Prepuce Circumcision

目的探讨包皮过长,包茎患者的临床治疗,及包皮环扎与环切两种术式进行临床疗效比较。方法回顾性分析包皮过长,包茎患者50例。其中<14岁者37例,>14岁者13例,包皮过长23例,包茎27例。所有患者随机采用环切或者环扎术。结果行包皮环扎术在青少年组手术时间、术中出血量、术后护理、术后出血、残端规整以及术后感染等方面,环扎组优于环切组。而在成年组包皮环切术的手术时间,术中出血量虽优于环扎组,但在脱环时间,术后疼痛方面环扎组优于环切组。结论两种手术方法通过对比,笔者认为对于无勃起的青少年包皮环扎术是目前较先进的一种手术,对于成人两者治疗效果无显著差异。

Objective To explore the wrapping is too long, clinical treatment of patients with phimosis, and wrapping cerclage and ring cut two kinds of operative methods compared the clinical efficacy. Methods A retrospective analysis of wrapping is too long, 50 patients with phimosis. 14 years of old, 37 cases, 14 years of old, 13 cases, 23 with redundant prepuce, phimosis in 27 cases. All patients were randomly using circumcision or cerclage. All patients were randomly using ring cut or cerclage. Results Tra nsport strap in adolescent group operation time, intraoperative blood loss, postoperative nursing, postoperative bleeding, residual neat and postoperative infection, etc, cerclage group is better than ring cut. In the adult group of circumcision operation time, intraoperative blood loss is superior to cerclage group, but in time to take off the ring, postoperative pain cerclage group is better than that of ring is cut. Conclusion By comparing the two kinds of operation method, the author thinks that for teenagers are not erection wrapping cerclage method is the more advanced a kind of surgery, for there was no significant difference both in adults.