中国保健营养（中旬刊）
中國保健營養（中旬刊）
중국보건영양（중순간）
China Hwalth Care & nutrition
2013年
7期
661-662
,共2页
翁海兵%钱声华(通讯作者)%沈银奎%孙小春
翁海兵%錢聲華(通訊作者)%瀋銀奎%孫小春
옹해병%전성화(통신작자)%침은규%손소춘
包皮环切术%套扎器%选择性
包皮環切術%套扎器%選擇性
포피배절술%투찰기%선택성
Circumcision%Ligation device%elective
目的：对比分析成人包皮套扎术和传统手术的疗效。方法：包皮环切术180例，按时间分为包皮套扎术组（90例）和传统手术组（90例），比较手术时间、术中失血量、疼痛评分及术后外观满意度、愈合时间等。结果：手术均顺利，一次性包皮套扎术组手术时间5~15（平均10）分钟，包皮过长者无出血，包茎者剪开背侧时少许出血，内板较均匀一致，内板长度6~10（平均8）mm，内板两侧相差1~3（平均1.5）mm，细带完全保留，愈合时间术后2~3周；传统手术组手术时间20~35（平均30）分钟；内板长度4~15（平均9）mm，两侧内板相差2~9（平均3.5）mm，愈合时间术后7~10（平均8）天，均有统计学意义。结论：一次性包皮环切套扎器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。
目的：對比分析成人包皮套扎術和傳統手術的療效。方法：包皮環切術180例，按時間分為包皮套扎術組（90例）和傳統手術組（90例），比較手術時間、術中失血量、疼痛評分及術後外觀滿意度、愈閤時間等。結果：手術均順利，一次性包皮套扎術組手術時間5~15（平均10）分鐘，包皮過長者無齣血，包莖者剪開揹側時少許齣血，內闆較均勻一緻，內闆長度6~10（平均8）mm，內闆兩側相差1~3（平均1.5）mm，細帶完全保留，愈閤時間術後2~3週；傳統手術組手術時間20~35（平均30）分鐘；內闆長度4~15（平均9）mm，兩側內闆相差2~9（平均3.5）mm，愈閤時間術後7~10（平均8）天，均有統計學意義。結論：一次性包皮環切套扎器行包皮環切術是對傳統包皮環切術的簡化和改進，具有手術時間短、術中齣血量少、疼痛輕、術後外觀滿意度高。患者易于接受等優點。
목적：대비분석성인포피투찰술화전통수술적료효。방법：포피배절술180례，안시간분위포피투찰술조（90례）화전통수술조（90례），비교수술시간、술중실혈량、동통평분급술후외관만의도、유합시간등。결과：수술균순리，일차성포피투찰술조수술시간5~15（평균10）분종，포피과장자무출혈，포경자전개배측시소허출혈，내판교균균일치，내판장도6~10（평균8）mm，내판량측상차1~3（평균1.5）mm，세대완전보류，유합시간술후2~3주；전통수술조수술시간20~35（평균30）분종；내판장도4~15（평균9）mm，량측내판상차2~9（평균3.5）mm，유합시간술후7~10（평균8）천，균유통계학의의。결론：일차성포피배절투찰기행포피배절술시대전통포피배절술적간화화개진，구유수술시간단、술중출혈량소、동통경、술후외관만의도고。환자역우접수등우점。
Objective:to compare the efficacy and complications of the ligation device of circumcision with conventional surgical procedures. Methods:A total of 180 patients, 140 with redundant prepuce and 40 with phimosis were randomly assigned to receive the ligation device of circumcision (n=90) and conventional surgical procedures (n=90). Comparisons were made between the two groups in the surgical duration, blood loss, pain score, the wounds healed, as wel as postoperative complications satisfaction with the penile appearance, and the quality of sexual life. Results:The surgical duration ,blood loss were 5~15(average 10)min ,0.8~4.4(average 2,60)ml in the ligation device group as compared with 20~35(average 30)min, 8~15(average 11.5)ml in the conventional surgery group. The wounds healed were 2~3weeks after circumcision, with wel-smoothed incision and good cosmetic results. as compared with7~10(average 8)days. Conclusion: Compared with the conventional surgical procedures, the ligation device of circumcision has the advantages of shorter operation time, less blood loss, mild pain, fewer complications, bet er penile appearance, lower expenses, and higher satisfaction and acceptance of the patients.
