一次性包皮环切缝合器治疗青年战士包皮过长的临床观察

Application of disposable circumcision suture device in the treatment of redundant prepuce in young soldiers

目的比较分析传统包皮环切手术、商环手术和一次性包皮环切缝合器(DCSD)手术治疗青年战士包皮过长的临床疗效。方法分析解放军第四一三医院2013年6月至2016年9月行包皮环切手术的青年战士患者488例的临床资料,其中应用传统包皮环切手术152例、应用商环手术140例、应用DCSD手术196例。分别比较3组手术时间、术后疼痛评分、术中出血量、愈合时间、术后并发症、外观满意度。结果传统手术组手术时间长、术中出血多,术后疼痛明显(P<0.05);商环组易水肿,切口感染和裂开几率高,恢复时间长(P<0.05)。DCSD组手术快速,无术区感染和切口裂开,创面愈合时间短,满意度评价高(P<0.05)。结论一次性环切缝合器手术简单快捷,痛苦小,恢复快,并发症少,外观满意度最高,更适宜在青年战士包皮过长人群开展。

Objective To compare the clinical effects of conventional circumcision,disposable circumcision suture device（DCSD）,Shangring prepuce surgery on the treatment of redundant prepuce in young soldiers. Methods Clinical data of 488 soldiers who underwent circumcision in No. 413 Hospital from June 2013 to September 2016 were analyzed in the study. Of all the cases,152 received conventional circumcision,140 had Shangring prepuce surgery and 196 had DCSD. Surgical time,erectile pain scores（VAS）after surgery,amount of hemorrhage during surgery,recovery time,incidence of complications and satisfaction of patients with outward appearance were compared between the 3 groups. Results The conventional circumcision group had the futures of longer surgical time,more blood loss and severer pain after surgery（P〈0. 05）. The Shangring prepuce surgery group had the features of being more vulnerable to edema,incision infection with a high probability of incision disruption and longer recovery time（P〈0. 05）. By contrast,DCSD had the features of shorter surgical time,no incision infection,no incision disruption,shorter recovery time and high rate of patient satisfaction（P〈0. 05）. Conclusion The DCSD had the features of shorter surgical time,less pain,faster recovery,lower incidence of complications and higher patient satisfaction rate,for this reason,it was more suitable for those young soldiers with redundant prepuce.