包皮切割缝合器手术操作改良

目的评估改良包皮切割缝合器手术的应用效果。方法2014年6月至2016年7月197例包皮过长或包茎患者采用包皮切割缝合器手术（常规操作组）。2016年8月至2017年8月98例患者采用改良包皮切割缝合器手术（改良操作组）。改良方法在取下保险销，按下手柄前，沿钟形座下方将包皮下肉眼可见〉0.5mm血管用5-0快吸收微乔线经皮贯穿缝扎，然后取下保险销，后续手术操作相同。比较两组疗效。结果常规操作组与改良操作组手术时间分别为（10．5±1．3）min和（83±0．5）min，术中出血量（2.2±0．9）ml和（0.8±0．2）ml，术后切口出血率5．6％和0％，术后皮下血肿率2．5％和1．0％，再次手术缝合止血率66％和0％，两组各项指标比较差异有统计学意义（P〈0.05）、改良操作组手术效果优于常规操作组，结论改良操作包皮切割缝合器手术不仅手术效果良好，且手术操作简单，手术时间缩短，术中止血效果较好，术后切口出血率、术后皮下血肿率、再次手术缝合止血率更低，且无皮瓣坏死发生，可作临床推广。

Objective To evaluate the application effect of modified foreskin incision suture device. Methods From June 2014 to July 2016, 197 cases of redundant prepuce or phimosis were operated by wrapping incision suture apparatus （routine operation group）. From August 2016 to August 2017, 98 patieuts underwent operation with modified wrapping incision and suture （improved operation group）, hnprovement method： Before insurance was taken and the handle was pressed, along the blood vessels above 0.5mm below the bell shaped seat would be visible to the naked eye under the foreskin with a 5 0 rapid nficro Joe percutaneuus absorption through joint, and then removed the insurance, the subsequent operation was the same. The effect of the two ~oups were compared. Results Normal operation and improvement of operation group operating time were respectively （ 10.5 ±1.3 ） mm and （ 8.3 ± 0.5 ） rain, lntraoperative blood loss were （ 2.2 ±0.9 ） ml aud （ 0.8 ±0.2 ） ml, postoperative incision hemorrhage rates were 5.6% and 0%, rates of postoperative subcutaneous hematoma were 2.5%and 1.0%, postoperative incision surgical suture rates lower again were 6.6% and 0%. Two groups had significant difference. Improved surgical effect operation group was significantly superior to the conventional operation group （ P〈0.05 ） . Conclusion hnproved operation of circumcision suture surgery is not only good, but also the operation is simple, the operation time is shortened, the effect of＂ hemostasis is better in the operation. The postoperative bleeding rate of＇the incision, the rate of subcutaneous hematoma after operatiom the hemostasis rate of the reoperatiou suture are lower, and there is no necrosis of the skin flap, which can be used for clinical promotion.