应用新型包皮套扎器的包皮环切术与传统包皮环切术治疗包皮过长的对比分析

Comparative analysis of circumcision with novel circumcision device and traditional circumcision in the treatment of redundant prepuce

目的对比应用新型包皮套扎器的包皮环切术与传统包皮环切术治疗包皮过长的效果。方法 232例包皮过长患者,根据治疗方法不同分为对照组与观察组,每组116例。对照组实施传统包皮环切术,观察组实施新型包皮套扎器包皮环切术。比较两组患者手术各相关指标、不同时期疼痛评分以及并发症发生情况。结果观察组患者手术时间、术后恢复时间分别为(3.80±0.28)min、(7.17±1.11)d,短于对照组的(27.52±4.25)min、(8.66±1.25)d;出血量(2.03±1.00)ml少于对照组的(10.12±1.51)ml,差异均有统计学意义(P<0.05)。两组患者拆环(拆线)前夜间疼痛评分比较差异无统计学意义(P>0.05);观察组患者术中、术后6 h、拆环(拆线)时疼痛评分低于对照组,差异均有统计学意义(P<0.05)。观察组患者并发症发生率3.45%低于对照组的12.93%,差异有统计学意义(P<0.05)。结论相对于传统包皮环切术,应用新型包皮套扎器的包皮环切术治疗包皮过长取得的效果更加优越,安全性和有效性均较高,具有较高的临床推广价值。

Objective To compare the effect of circumcision with novel circumcision device and traditional circumcision in the treatment of redundant prepuce. Methods A total of 232 redundant prepuce patients were divided by different treatment methods into control group and observation group, with 116 cases in each group. The control group received traditional circumcision, and the observation group received circumcision with novel circumcision device. Comparison were made on surgical related indicators, pain scores at different stages and complications between the two groups. Results The observation group had shorter operation time, postoperative recovery time respectively as（3.80±0.28） min and（7.17±1.11） d than（27.52±4.25） min and（8.66±1.25） d in the control group, and less bleeding volume as（2.03±1.00） ml than（10.12±1.51） ml in the control group. Their difference was statistically significant（P〈0.05）. Both groups had no statistically significant difference in nocturnal pain score before ring removal（suture removal）（P〈0.05）. The observation group had lower pain score during operation, 6 h after operation and ring removal（suture removal） than the control group, and the difference was statistically significant（P〉0.05）. The observation group had lower incidence of complications as 3.45% than 12.93% in the control group, and the difference was statistically significant（P〈0.05）. Conclusion Compared with traditional circumcision, application of circumcision with novel circumcision device is more effective in the treatment of redundant prepuce with high safety and effectiveness, and it is worth clinical promotion and application.