CAJ | 학술논문

目的探讨包皮环切术中采用双极电凝与丝线结扎两种止血方法对手术效果,尤其是术后男性性功能的影响.方法将350例拟行包皮环切术患者随机分为A、B两组,术中分别采用双极电凝止血法及丝线结扎止血法控制术中出血,术后均随访6个月.比较两组术中情况、术后并发症发生率.应用简易男性性功能评价表(Brief Male Sexual Function Inventory,BMSFI)评价术前及术后6个月性功能变化情况.结果所有患者手术顺利.A组手术时间、术中失血量较B组减少,差异有统计学意义(P＜0.05);A组术后总并发症发生率、术后出血及血肿发生率、硬结及疤痕发生率较B组均下降,差异有统计学意义(P＜0.05);A组术后总体性满意度升高,差异有统计学意义(P＜0.05),B组术后性功能评分较术前差异无统计意义.结论包皮环切术中应用双极电凝止血可缩短手术时间,减少术中失血量,减少术后并发症,改善术后男性性功能.
목적 탐토포피배절술중채용쌍겁전응여사선결찰량충지혈방법대수술효과,우기시술후남성성공능적영향.방법 장350례의행포피배절술환자수궤분위A、B량조,술중분별채용쌍겁전응지혈법급사선결찰지혈법공제술중출혈,술후균수방6개월.비교량조술중정황、술후병발증발생솔.응용간역남성성공능평개표(Brief Male Sexual Function Inventory,BMSFI)평개술전급술후6개월성공능변화정황.결과 소유환자수술순리.A조수술시간、술중실혈량교B조감소,차이유통계학의의(P＜0.05);A조술후총병발증발생솔、술후출혈급혈종발생솔、경결급파흔발생솔교B조균하강,차이유통계학의의(P＜0.05);A조술후총체성만의도승고,차이유통계학의의(P＜0.05),B조술후성공능평분교술전차이무통계의의.결론 포피배절술중응용쌍겁전응지혈가축단수술시간,감소술중실혈량,감소술후병발증,개선술후남성성공능.
Objectives To investigate the surgical outcomes of two different hemostasis methods (bipolar electrocoagulation and suture) in circumcision,especially the changes of sexual function.Methods 350 patients undergoing circumcision were divided randomly into two groups by different hemostasis methods,including bipolar electrocoagulation(group A) and suture (group B),every group contains 175 cases.All patients followed up 6 months after operation.The efficiency was evaluted by comparing intraoperative variables,postoperative complications and the change of sexual function before and after operation.Results All cases of circumcision were smoothly accomplished.The operation time was shorter and the intraoperative bleeding amount was less in group A than in group B significantly(P ＜ 0.05).There were significant differences in the total incidence rate of complications,the tate of postoperative bleeding and hematoma,the rate of thrum reaction and induration (P ＜ 0.05).The difference of overall sexual satisfaction before and after operation in group A was larger than group B significantly(P ＜0.05).Conclusions Bipolar electrocoagulation,as a safe and effective hemostasis method,could reduce the rate of postoperative complications,improve overall sexual satisfaction.