CAJ | 학술논문

目的对比分析中国商环包皮环切术和传统包皮环切术的疗效和手术并发症.方法有完整随访资料的479例中国商环包皮环切术患者和354例传统包皮环切术患者,两组患者年龄、包皮情况比较差异无统计学意义(P＞0.05).对比分析其手术时间、疼痛评分、失血量、术后并发症、术后外观满意情况、伤口愈合时间、治疗费用等.结果商环组和传统手术组手术时间分别为(5±1)、(27±5)min;出血量分别为(0.98±1.14)、(8.30±3.60)ml;手术时疼痛评分分别为0.25±0.54、3.29±1.57;术后24 h疼痛评分分别为1.63±0.87、5.56±1.42;术后并发症发生率分别为6.89%(33/479)、13.28%(47/354);创口愈合时间分别为(20±5)、(13±2)d;外观满意率分别为99.79%(478/479)、92.37%(327/354);治疗费用分别为(871±52)、(554±46)元.与传统手术组相比,商环组手术时间短,失血量少,患者痛苦小,外观满意率高,并发症发生率低(P＜0.05).但商环组创口愈合时间较长,治疗费用较高(P＜0.05).结论用中国商环行包皮环切术是对传统包皮环切术的简化和改进,具有手术时间短、术中出血量少、疼痛轻、术后外观满意度高、患者易于接受等优点.
목적 대비분석중국상배포피배절술화전통포피배절술적료효화수술병발증.방법 유완정수방자료적479례중국상배포피배절술환자화354례전통포피배절술환자,량조환자년령、포피정황비교차이무통계학의의(P＞0.05).대비분석기수술시간、동통평분、실혈량、술후병발증、술후외관만의정황、상구유합시간、치료비용등.결과 상배조화전통수술조수술시간분별위(5±1)、(27±5)min;출혈량분별위(0.98±1.14)、(8.30±3.60)ml;수술시동통평분분별위0.25±0.54、3.29±1.57;술후24 h동통평분분별위1.63±0.87、5.56±1.42;술후병발증발생솔분별위6.89%(33/479)、13.28%(47/354);창구유합시간분별위(20±5)、(13±2)d;외관만의솔분별위99.79%(478/479)、92.37%(327/354);치료비용분별위(871±52)、(554±46)원.여전통수술조상비,상배조수술시간단,실혈량소,환자통고소,외관만의솔고,병발증발생솔저(P＜0.05).단상배조창구유합시간교장,치료비용교고(P＜0.05).결론 용중국상배행포피배절술시대전통포피배절술적간화화개진,구유수술시간단、술중출혈량소、동통경、술후외관만의도고、환자역우접수등우점.
Objective To compare the efficacy and complications of Chinese Shang Ring circumcision with conventional circumcisiom Methods Clinical data of 479 cases of Chinese Shang Ring circumcision and 354 cases of conventional circumcision with complete follow-up were analyzed.Comparisons were made between the two groups on operation time,pain score,blood loss,postoperative complications,postoperative satisfaction with penile appearance,wound healing time and treatment costs. Results There was no statistical difference in age and foreskin status between the two groups (P＞0.05).For the Shang Ring group,the operation time was(5±1)rain,blood loss was (0.98±1.14)ml,pain score during operation was 0.25±0.54,24-hour pain score after operation was 1.63±0.87,the postoperative complication rate was 6.89% (33/479),wound healing time was (20±5)d,the satisfaction rate of appearance was 99.79% (478/479),and treatment cost was (871±52) yuan.For the conventional group,the operation time was (27±5) min,blood loss was (8.30±3.60)ml,pain score during operation was 3.29±1.57,24-hour pain score after operation was 5.56±1.42,the postoperative complication rate was 13.28%(47/354),wound healing time was (13±2)d,satisfaction rate of appearance was 92.37% (327/354),and treatment cost was (554±46) yuan.Compared with the conventional group,the Shang Ring group had a shorter operation time,less blood loss,less pain score,higher appearance satisfaction rate and a lower complication rate (P＜0.05).But wound healing time was longer and treatment cost was higher in the Shang Ring group (P＜0.05). Conclusions Chinese Shang Ring circumcision is simpler and an improved approach over conventional circumeision with shorter operative time,less blood loss,less pain,relatively lower complication rate and higher satisfaction and acceptability.