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1、圣环包皮环切术与传统环切术、袖套状环切术临床疗效对比观察陈少安,刘川,胡自力,姜庆,林艳君,于圣杰(400010重庆,重庆医科大学附属第二医院泌尿外科)[摘要]目的比较圣环包皮环切术、袖套状包皮环切术及传统包皮环切术治疗包皮过长及包茎的临床疗效。方法对298例包皮过长及包茎患者分别行传统包皮环切术(剪刀法)86例(传统组)、袖套状包皮环切术82例(袖套组)、圣环包皮环切术130例(圣环组)。对比分析3组手术时间、术中出血量、术后疼痛持续时间、术后并发症、患者手术前后国际勃起功能评分-5(internationalindexoferectilefunction,IIEF-5)和勃起功能
2、障碍患者及性伴侣治疗满意度(treatmentsatisfactionscale,TSS)评分。结果传统组术后疼痛时间[(47.62±13.05)h]显著大于其他2组,术后切口感染率(6.9%)、血肿发生率(15.1%)和包皮畸形发生率(8.1%)显著高于其他2组(P<0.05),术后IIEF-5评分显著降低(P<0.05)而TSS评分无显著变化(P>0.05);袖套组手术时间[(44.21±10.55)min]和术中出血量[(11.02±2.44)ml]显著高于其他2组(P<0.05),术后TSS评分显著提高(P<0.05)而IIEF-5评分无显著变化(P>0.05);圣环组手术时
3、间[(4.37±1.33)min]和术中出血量[(0.79±0.20)ml]显著低于其他2组(P<0.05)、术后阴茎水肿发生率(44.6%)显著高于其他2组(P<0.05),手术后TSS评分显著提高(P<0.05)而IIEF-5评分无显著变化(P>0.05)。结论圣环包皮术操作简单、快捷、安全,较传统术式和袖套状术式临床疗效佳。[关键词]圣环包皮环切术;传统包皮环切术;袖套状包皮环切术;包皮过长;包茎[中图分类号]R699[文献标识码]ATherapeuticefficacyofholy-loop,orthodoxandsleevecircumcision:acomparative
4、analysisfor298casesChenShao’an,LiuChuan,HuZili,JiangQing,LinYanjun,YuShengjie(DepartmentofUrology,SecondAffiliatedHospital,ChongqingMedicalUniversity,Chongqing,400010,China)[Abstract]ObjectiveTocomparetheclinicalcurativeeffectsoforthodoxcircumcision,sleevecircumcisionandholy-loopcircumcisionont
5、hetreatmentofphimosisandredundantprepuceamong.MethodsFromJanuary2008toApril2010,289patientsunderwentcircumcisioninourdepartment.Theywereclassifiedinto3groups,86patientsundergoingorthodoxcircumcision(orthodoxgroup),82patientsundergoingsleevecircumcision(sleevegroup)and130patientsundergoingholy-l
6、oopcircumcision(holy-loopgroup).Allthecaseswerestudiedprospectivelyandcomparatively.Theoperatingduration,bloodlose,postoperativepaindurationandcomplicationsamongthe3groupswerecompared.ResultsInorthodoxgroup,postoperativepainfulduration(47.62±13.05h)waslongerthantheother2groups(P<0.05),andpostop
7、erativeinfectionrate(6.9%),hematomarate(15.1%)andmalformationrate(8.1%)werehigherthanthoseoftheothergroups(P<0.05).Insleevegroup,theoperatingduration(44.21±10.55min)waslongerthantheother2groups(P<0.05)andintraoperativehemorrhagica