包皮环切缝合器手术与传统包皮环切术的临床对比分析

Comparison of the effects of circumcision using a novel disposable suture device vs traditional procedure

目的观察包皮环切缝合器手术与传统包皮环切术的疗效对比。方法回顾性分析2015年7月至2016年7月间采取2种不同方法进行的包皮环切术共203例,其中传统手术114例,包皮环切缝合器手术89例,比较2种手术的手术时间,术中出血量,疼痛感,术后并发症发生情况,切口愈合时间及阴茎外形满意度。结果环切缝合器手术的手术时间,术中出血量,术中疼痛VAS,术后伤口愈合时间均明显小于传统手术(P<0.05);阴茎外形满意度高于传统手术(P<0.05);环切缝合器手术的术后出血、伤口感染及切口裂开等并发症发生率低于传统手术(P<0.05);包皮水肿发生率2组无差异。结论环切缝合器在包皮环切术的应用,具有简便、快捷、微创、美容及并发症低的优点。

Objective To compare the effects of circumcision using a novel disposable suture device and traditional procedure. Methods A total of 203 cases between July 2015 and July 2016 that underwent circumcision with traditional procedure（114 cases）or using a novel disposable suture device（89 cases）were documented,The main surgical outcomes including surgical time,intraoperative blood loss,pain score,incision healing time,postoperative complications and patients＇ satisfaction rate of postoperative penile cosmetic appearance were collected and analyzed. Results The suture device group had shorter operation time,less blood lose,lower VAS,shorter wound healing time and higher satisfaction rate of penile cosmetic appearance than the traditional group（P〈0.05）;Besides,the incidence of postoperative complications such as incision bleeding and infection,wound dehiscence was significantly lower in the suture device group than in the traditional group（P〈0.05）,however,the incidence of edema was no different between two groups. Conclusion Application of a novel disposable suture device in circumcision represents convenient,efficient and minimal invasive,and has better cosmetic outcome and less complications. It is worth promoting clinically.