摘要
目的 探讨一次性包皮环切缝合器行包皮环切术过程中的手术细节,提高临床推广的安全性.方法 对145例包皮过长和包茎的男性患者,应用一次性包皮环切缝合器进行包皮环切术,术后1、7、14、21d及1个月回访,观察出血、水肿等常见并发症并评估手术效果.结果 所有患者均完成手术,手术时间7 ～ 15min.术中切缘轻微血肿35例,切缘活动性出血需缝扎19例,切割不完全需补充剪除17例,切缘裂开需要缝合11例.术后阴茎头及系带处出现青黑色瘀斑57例,局部包皮轻微水肿19例,切口裂开3例,切口感染2例,大出血1例.1个月后缝合钉无法全部自动脱落14例.1个月后所有患者愈合良好,无持续疼痛、局部感染、龟头缺血坏死等.结论 一次性包皮环切缝合器行包皮环切术在推广过程中必须注意手术细节,才能降低并发症发生率,保证手术安全及效果。
Objectives To explore the technique of disposable circumcision suture device for circumcision in order to improve the surgery quality and security.Methods One hundred and forty-five patients with long prepuce and phimosis underwent circumcision using disposable circumcision suture device.Patients were followed at day 1,and 7,14,21 and 1 month after the procedure.Complications such as bleeding,edema and outcones were assessed.Results All operation was performed using the new device successfully.Operation time was between 7 ～ 15 mins.35 patients were found mild hematoma during the surgery;19 patients with active？ bleeding in the cutting edge and 11 with dehiscence of incisions needed to suture;17 patients acquired additional trimming with scissors or blade due to incompletely cutting-off;After operation,there were 57 cases black？ ecchymosis,19 cases mild edema,3 cases disruption of wound,2 cases wound infection and 1 case massive hemorrhage in the penis.The remaining staples of 14 cases after one month were manually removed.All the incision healed well after one month,there was no persistent pain,local infection,ischemic necrosis of balanus.Conclusions In order to ensure the operation safety and quality,we must pay attention to some details,though the disposable circumcision suture device for circumcision is simple and easily performed.
出处
《国际泌尿系统杂志》
2015年第6期865-868,共4页
International Journal of Urology and Nephrology
基金
福建省卫生厅面向农村和城市社区推广适宜技术项目（编号：2013018）
