一次性包皮环切缝合器手术治疗包茎、包皮过长的效果及安全性分析

Effect and safety analysis of disposable circumcision stapler in treating phimosis and redundant prepuce

目的探讨一次性包皮环切缝合器手术治疗包茎、包皮过长患者的疗效及安全性分析。方法选取我院2016年3月~2017年10月治疗的包茎、包皮过长的192例患者作为研究对象,采用随机计数器将其分为A组、B组和C组,每组64例。其中A组行一次性包皮环切缝合器手术治疗,B组行包皮环扎术治疗,C组行传统包皮环切术治疗。比较三组患者的手术时间、术中失血量、术后24 h疼痛视觉模拟量表(VAS)评分、外观满意度及并发症发生情况。结果 A组患者的手术时间短于B、C组,术中失血量少于B、C组、术后24 h VAS评分低于B、C组,外观满意度评分高于B、C组,差异均有统计学意义(P<0.05)。A组的并发症总发生率低于B、C组,差异有统计学意义(P<0.05)。结论一次性包皮环切缝合器手术应用于包茎、包皮过长患者,临床疗效明确,可缩短手术时间,减少术中失血量,并降低术后疼痛程度,减少并发症发生,安全性较高。

Objective To investigate the curative effect and safety analysis of disposable circumcision stapler in treating patients with phimosis and redundant prepuce.Methods A total of 192 patients with phimosis and redundant prepuces who were treated in our hospital from March 2016 to October 2017 were selected as the research objects.They were divided into group A,group B and group C, with 64 cases in each group by random counter. Among them,group A was treated with A disposable circumcision stapler, group B was treated with circumcision,and group C was treated with traditional circumcision.The operation time,intraoperative blood loss,VAS scores at 24 h after operation,appearance satisfaction and complications were compared among the three groups.Results The operation time of patients in group A was shorter than that in groups B and C,and the blood loss during operation was less than that in groups B and C,and the VAS scores at 24 h after operation were lower than those in groups B and C,while the scores of appearance satisfaction were higher than those in groups B and C,the difference was statistically significant（P〈0.05）.The total incidence of complications in group A was lower than that in groups B and C（P〈0.05）.Conclusion One-off circumcision segmenting in the treatment of patients with phimosis and overlong circumcision has significant clinical effect.It can shorten the operation time,reduce the amount of blood loss during the operation,and the degree of postoperative pain and the occurence of complications are reduled,Besides,the safety is high.