不同包皮环切术治疗包皮过长的临床效果分析

Clinical effect analysis of different circumcision surgery in the treatment of phimosis

目的:对比商环包皮环切吻合术和传统手术治疗包皮过长的疗效分析。方法:回顾性分析我院2014年7月至2016年2月采用两种不同方法行包皮环切术的临床资料1400例。采用单双门诊分组,A组传统包皮环切术780例、B组商环包皮环切吻合术620例,并对其手术平均时间、出血量、水肿消退期时间、术后感染、术后伤口裂开、术后愈合时间、再次手术率进行临床观察比较。结果:商环包皮环切术手术时间及出血量要优于传统包皮环切术(P<0.05),但商环包皮环切术水肿消退时间、术后愈合时间、术后伤口裂开及再次手术率明显差于传统手术(P<0.05);两种手术方式在术后感染并发症上相似无明显差异(P>0.05);结论:商环包皮环切吻合术虽然是传统手术的简化和改进,具有时间短、出血少优点,但传统手术仍然是我们临床医生掌握最好、操作最熟悉、手术并发症最少的一种手术。

Objectives To explore and analyze the clinical effect of Shang ring circumcision and traditional circumcision surgeryin the treatment of phimosis. Methods A retrospective analysis was conducted of all patients who received circumcision inLongyan County First Hospital from July 2014 through February 2016.Of all the 1400 patients.Adopt double outpatient servicegroup,randomly divided into Shang ring group and traditional surgery group,seven hundred and eighty received traditionalcircumcision(traditional circumcision group, Group A), six hundred and twenty received Shang ring group(Shang ring group,Group B).Specific data regarding average operation time, wound bleeding,edema subsidise time,infection,wound burst,healingtime,etc and and reoperation rate were recorded and analysed. Results Shang Ring circumcision significantly reduced theoperation time and intra-operative blood loss as compared with conventional circumcisions (P <0.05). But the edema subsidisetime,postoperative healing time,wound burst and reoperation rate was worse than in the traditional circumcision group(P <0.05).As for the surgeonspostoperative complications infection traditional circumcision group showed similar effects to Shang Ringcircumcision. Conclusions The Shang ring circumcision is simplified and improvement of traditional surgery,with a shorttime, less bleeding,But traditional circumcision group is still our clinicians to master the best, the most familiar with operation,surgical complications of at least one operation.