摘要
目的探究一次性包皮环切固定器在包皮环切术中的应用研究。方法选取2018年5月至2019年12月于本院男科就诊的包皮过长患者100例作为研究对象,根据术式不同分为观察组与对照组,每组50例。观察组采用一次性包皮环切固定器术式,对照组采用一次性包皮切割缝合器术式,比较两组手术指标、疼痛评分、包皮水肿评分、愈合时间及脱线/脱钉时间、满意度评分、术后包皮血肿、术后伤口开裂发生率。结果观察组手术时间长于对照组(P<0.05);两组术中出血量比较差异无统计学意义;术后1、3、7 d,观察组伤口疼痛评分均低于对照组,差异具有统计学意义(P<0.05)。术后7 d,观察组包皮水肿评分明显低于对照组,脱线/脱钉时间明显短于对照组,差异具有统计学意义(P<0.05);两组伤口愈合时间比较差异无统计学意义。两组手术满意度评分比较差异无统计学意义;观察组恢复进程满意度评分、包皮外观满意度评分均高于对照组,差异具有统计学意义(P<0.05)。观察组发生术后包皮血肿1例(2.0%);对照组发生术后包皮血肿2例(4.0%),术后伤口开裂3例(6.0%),两组比较差异无统计学意义。结论一次性包皮环切固定器术式具有操作简便、安全可靠、痛苦小、伤口美观、患者满意度高、价廉等特点,值得临床推广应用。
Objective To explore the application of circumcision fixator in circumcision.Methods 100 patients with redundant prepuce who were treated in the Andrology Department of our hospital from May 2018 to December 2019 were selected as the research subjects.According to the different surgical procedures,they were divided into observation group and control group,with 50 cases in each group.The observation group used disposable circumcision fixator,and the control group used disposable circumcision suture device.The surgical index,pain score,foreskin edema score,healing time and time of stripping/nail removal,satisfaction score,postoperative foreskin hematoma,the incidence of complication wound cracking were compared between two group.Results The operation time of the observation group was longer than that of the control group(P<0.05);there was no statistically significant difference in intraoperative blood loss between the two groups;the wound pain scores of the observation group were lower than those of the control group at 1,3,and 7 days after operation,and the difference was statistically significant(P<0.05).The score of foreskin edema in the observation group was significantly lower than that of the control group at the 7 days after operation,and the time of thread/nail removal was significantly shorter than that of the control group,the difference was statistically significant(P<0.05);there was no significant difference in wound healing time between the two groups.There was no statistically significant difference in the surgical satisfaction scores between the two groups;the satisfaction scores of the recovery process and the appearance of the foreskin of the observation group were higher than those of the control group,and the difference was statistically significant(P<0.05).Postoperative foreskin hematoma occurred in 1 case(2.0%)in the observation group;2 cases(4.0%)occurred in the control group,and 3 cases(6.0%)occurred in postoperative wound dehiscence,and there was no statistically significant difference betwe
作者
邵耀宁
周惠成
廖光辉
陈丽仪
苏永权
卢广明
王淦坤
SHAO Yaoning;ZHOU Huicheng;LIAO Guanghui;CHEN Liyi;SU Yongquan;LU Guangming;WANG Gankun(Department of Andrology,Dongguan Hospital of Guangzhou University of Traditional Chinese Medicine,Dongguan,Guangdong,523000,China)
出处
《当代医学》
2021年第16期1-4,共4页
Contemporary Medicine
基金
东莞市社会科技发展(重点)项目(201850725002127)。
