CAJ | 학술논문

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。
목적：비교일차성포피배절문합기여상배급전통포피배절술료효비교。방법：장90례환자수궤분위3조，전통포피배절조、상배조급일차성배절문합조(DCSD)。평고지표포괄수술시간、실혈량、술중동통평분、술후동통평분，술후동통지속시간、술후환약차수、술후수종、절구렬개、술후출혈、술후혈중、술후재차수술、술후감염、유합천수、술후반흔、술후점련、음경외관만의평분、총체만의평분、비용정황등。결과：상배조급DCSD조술중실혈량급수술시간현저저우전통조(P＜0.001)；DCSD조술중동통저우전통조급상배조(P＜0.001)；전통조술후동통고우기타량조(P＜0.001)；DCSD조급상배조대음경외관적만의도고우전통조(P＜0.05)；총체만의도DCSD조고우상배조급전통조(P＜0.05)。결론：사용DCSD가이축단수술시간급절구유합시간，감경술중술후동통，강저술후감염、술후반흔급술후점련출현，제고환자대음경외관만의도급수술총체만의도。
Objective:To compare the effects of disposable circumcision suture device,Shangring and circumcision.Methods:90 patients 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 (P<0.001).Intraoperative pain of DCSD group was less than that of circumcision group and ShangRing group(P<0.001).The postoperative pain of circumcision group was higher than that of the other two groups(P<0.001).The appearance satisfaction of penile of DCSD group and ShangRing was higher than that of the circumcision group(P<0.05).The overall satisfaction of DCSD group was higher than that of ShangRing group and circumcision group(P<0.05).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.