摘要
目的:比较一次性包皮环切吻合器与商环及传统包皮环切术疗效比较。方法:将90例患者随机分为3组,传统包皮环切组、商环组及一次性环切吻合组(DCSD)。评估指标包括手术时间、失血量、术中疼痛评分、术后疼痛评分,术后疼痛持续时间、术后换药次数、术后水肿、切口裂开、术后出血、术后血中、术后再次手术、术后感染、愈合天数、术后瘢痕、术后粘连、阴茎外观满意评分、总体满意评分、费用情况等。结果:商环组及DCSD组术中失血量及手术时间显著低于传统组(P<0.001);DCSD组术中疼痛低于传统组及商环组(P<0.001);传统组术后疼痛高于其他两组(P<0.001);DCSD组及商环组对阴茎外观的满意度高于传统组(P<0.05);总体满意度DCSD组高于商环组及传统组(P<0.05)。结论:使用DCSD可以缩短手术时间及切口愈合时间,减轻术中术后疼痛,降低术后感染、术后瘢痕及术后粘连出现,提高患者对阴茎外观满意度及手术总体满意度。
Objective:To compare the effects of disposable circumcision suture device,Shangring and circumcision.Methods:90patients were randomly divided into 3 groups: circumcision group,ShangRing group and disposable circumcision suture device(DCSD) group. Evaluation indicators included:operation time,blood loss,intraoperative pain score,postoperative pain score,the pain duration of postoperative,postoperative treatment,postoperative edema,incision dehiscence,postoperative bleeding,postoperative blood,reoperation after operation,postoperative infection,healing days,postoperative scar,postoperative adhesion,satisfactory evaluation of penis appearance,overall satisfactory evaluation,cost,etc.Results:Intraoperative blood loss and operation time of ShangRing group and DCSD group were all lower than that of circumcision group(P0.001).Intraoperative pain of DCSD group was less than that of circumcision group and ShangRing group(P0.001).The postoperative pain of circumcision group was higher than that of the other two groups(P0.001).The appearance satisfaction of penile of DCSD group and ShangRing was higher than that of the circumcision group(P0.05).The overall satisfaction of DCSD group was higher than that of ShangRing group and circumcision group(P0.05).Conclusion:DCSD can shorten the operation time and healing time,reduce intraoperative and postoperative pain,and reduce the postoperative infection and postoperative scar and postoperative adhesion,which can improve patients?appearance satisfaction of penile and overall satisfaction.
关键词
一次性包皮环切吻合器
商环
包皮环切术
患者满意度
阴茎外观
Disposable Circumcision Suture Device
ShangRing
Circumcision
Patient satisfaction
Appearance of the penis
