包皮环切缝合器与环形吻合器及传统包皮环切术的前瞻性临床研究-论文.pdf

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1、第24卷第3期中国现代医学杂志Vo1．24No．32014年1月ChinaJournalofModernMedicineJan．2014文章编号：1005—8982(2014)03—0047—05·新进展研究·包皮环切缝合器与环形吻合器及传统包皮环切术的前瞻性临床研究景治安，刘彦军，李纪华，胡和平，毛长青，吴辉，冯占启(郑州市第一人民医院泌尿外科，河南郑州450004)摘要：目的应用一次性包皮环切缝合器(缝合器组)、一次性环切吻合器(套环组)及传统包皮环切(传统组)三种术式进行临床疗效比较。方法前瞻性选取包皮过长和包茎患者271例，其中缝合器组111例，

2、套环组120例，传统手术组40例。采用三种手术方法对患者进行治疗，并比较三种手术的安全性、术式优越性及疗效。结果手术时间、出血量及愈合后外观方面套环组和缝合器组优于传统组(P<0．017)；手术后感染、水肿、愈合时间和疼痛程度方面缝合器组和传统组优于套环组，差异有显著性(P

3、arisonofthecircumcision·'·‘■·’1·'●·‘■●●●●Suturedevice．circularstaolerandtraaitionalClrCUmClsloninthetreatmentofredundantprepuceandphimosisJINGZhi-an，LIUYan-jun，LIJi-hua，HUHe-ping，MAOChang-qing，WUHui，FENGZhan—qi(DepartmentofUrology,theFirstPeopleHospital,Zhengzhou,Henan450004，P．R．

4、China)Abstract：【objecfive】Tocomparetheeficacyandcomplicationsofdisposablecircumcisionsuturedevice，cir—cularstaplerandtraditionalcircumcision．【Methods】Accordingtothewishesofpatients，peoplewhowerereceiv—ingcircumcisioninourhospitalwereprospectivelydividedintothreegroups：disposablec

5、ircumcisionsuturedevice(n=111)，circularstapler(n=120)andtraditionalcircumcision(n=40)．Comparisonsweremadebetweenthethreegroupsintheoperationtime，bloodloss，timeofwoundhealing，postoperativepainscore，postoperativecomplicationsandpostoperativesatisfactionwithpenileappearance．【Results

6、】Therewerelowerlevelinthecircumcisionsuturedevicegroupthaninthecircularstaplerandtraditionalcircumcisiongroupinthetermsofoperationtime，bloodloss，timetowoundhealing，postoperativepainscore(P<0．017)．Thereweresignificantdifferenceexistedinthemeansur—gicalduration，bloodloss，timetowoun

7、dhealing，postoperativepainscoreandcomplicationsbetweengroups(P<0．017)．【Conclusions】Comparedwiththecircularstaplerandtraditionalcircumcision，disposablecircumcisionsn-turedeviceisbothsafeandeficacy，itcouldownmoreadvantagesandlesspain，lesscomplications．Keywords：circumcisionsuturedev

8、ice；phimosis；redundantprepuce；circumcisi