CAJ | 학술논문

目的：比较分析一次性包皮环切缝合器和商环治疗包皮过长和包茎的临床疗效。方法选取行包皮环切术的290例患者，应用一次性包皮环切缝合器手术145例（A组），应用商环手术145例（B组）。分别观察两组手术时间、术中及术后勃起疼痛评分、术中出血量、切口愈合时间、术后并发症（水肿、出血、感染、切口开裂）及患者满意度。结果两组患者手术时间及术后疼痛评分的差异均无统计学意义（均P＞0.05），术中勃起疼痛评分、术中出血量、切口愈合时间及术后并发症发生率的差异均有统计学意义（P＜0.05或0.01）。结论两种包皮环切术均获得满意效果。一次性包皮环切缝合器法可明显减轻围手术期疼痛，缩短切口愈合时间，降低术后（水肿、出血、感染、切口开裂）等并发症的发生率；而商环手术后出血和皮下血肿发生率较少。
목적：비교분석일차성포피배절봉합기화상배치료포피과장화포경적림상료효。방법선취행포피배절술적290례환자，응용일차성포피배절봉합기수술145례（A조），응용상배수술145례（B조）。분별관찰량조수술시간、술중급술후발기동통평분、술중출혈량、절구유합시간、술후병발증（수종、출혈、감염、절구개렬）급환자만의도。결과량조환자수술시간급술후동통평분적차이균무통계학의의（균P＞0.05），술중발기동통평분、술중출혈량、절구유합시간급술후병발증발생솔적차이균유통계학의의（P＜0.05혹0.01）。결론량충포피배절술균획득만의효과。일차성포피배절봉합기법가명현감경위수술기동통，축단절구유합시간，강저술후（수종、출혈、감염、절구개렬）등병발증적발생솔；이상배수술후출혈화피하혈종발생솔교소。
Objective To compare the application of disposable circumcision suture device with ShangRingTM circumci-sion device in treatment of redundant prepuce and phimosis. Methods Two hundred and ninety patients with redundant pre-puce and phimosis were enrol ed in the study, among whom 145 patients underwent circumcision with disposable circumcision suture device(group A) and another 145 patients with ShangRingTM circumcision device(group B). The operative time, erectile pain score (VAS) during and after the operating, intraoperative bleeding volume, duration of wound healing, postoperative complications (edema, incision bleeding, infection, dehiscence) and satisfaction of patients were observed and compared be-tween two groups. Results There were no significant differences in operative time and erectile pain score (VAS) after the op-erating between two groups(P>0.05). The pain score (VAS) during the operating was lower, the intraoperative bleeding vol-ume was less, the duration of wound healing was shorter and the postoperative complication rate was lower in group A than those in group B(P<0.05 or 0.01). Conclusion The results of circumcision using two devices are both satisfactory. The indi-cators of perioperative pain score, duration of wound healing and postoperative complications with disposable circumcision suture device are better;while the incidence of haemorrhage and ecchymoma is less for ShangRingTM circumcision device.