一次性包皮切割缝合器在成人包皮环切术中的应用

Application of disposable circumcision suture device in adult male circumcision

目的:观察使用一次性包皮切割缝合器治疗成人包皮过长、包茎的安全性及有效性。方法:选取2013年8月至2016年3月进行包皮环切术的377例成人患者为观察对象,其中包皮割缝合器手术256例(观察组),传统包皮环切术121例(对照组)。观察两组手术时间、术中出血量、术后24h疼痛评分、术后美观度及术后并发症发生情况,并作对比分析。结果:观察组在手术时间、术中出血、术后24h疼痛评分、术后包皮水肿、术后感染方面优于对照组。术后出血、切口延迟愈合方面两组无明显差异。术后对阴茎外观满意度观察组高于对照组。结论:一次性包皮切割缝合器治疗成人包皮过长操作简单、并发症少、外观美观,值得临床推广应用。

Objectives：To assess the safety and efficacy of the disposable circumcision suture device in the treatment of adult male redundant prepuce and phimosis.Methods：A total of 377 phimosis patients that underwent circumcision between August 2013 and March 2016 using disposable circumcision suture device（n = 265,obser-vation group） and conventional suture approach（n = 121,control group） were documented.The main surgical outcomes（surgical time,intraoperative blood loss） and postoperative complications and patient experience（postoperative 24 hours pain score,satisfaction rate of postoperative penile cosmetic appearance） were collected and analyzed.Results：The observation group had shorter operation time,lower pain score and less intraoperative blood loss and a higher satisfaction rate of penile cosmetic appearance when compared to the control group.Besides,the incidence of complications（hematoma and incision bleeding and infection） was significantly lower in the observation group.Postoperative bleeding and delayed healing of incision had no obvious difference between the two groups.Conclusion：Circumcision using this disposable suture device is associated with short operative time,rapid recovery,less complications and high satisfaction rate of penile appearance.This approach should be of value for future application.