CAJ | 학술논문

目的：探讨改良术式及传统术式治疗包茎和包皮过长的疗效差异及并发症发生情况。方法：2012年1月-2014年1月收治包茎及包皮过长患者100例，分为观察组和对照组。对照组实施传统的手术方式(剪刀法包皮环切术和血管钳法包皮环切术)；观察组实施改良术式(袖套法包皮环切术和阴茎根部皮肤环切术)。分析上述手术方式对手术时间、术中出血量等影响，记录两组患者术后并发症。结果：观察组(改良术式)的手术时间长于对照组的手术时间，观察组术中出血量低于对照组的术中出血量，观察组术后伤口疼痛持续时间低于对照组的术后伤口疼痛持续时间，差异有统计学意义(P＜0.05)。观察组术后并发症发生率8.0%，对照组术后并发症发生率48.0%，观察组术后并发症发生率低于对照组，差异有统计学意义(P＜0.05)。结论：改良术式(袖套法包皮环切术和阴茎根部皮肤环切术)治疗包茎及包皮过长时临床效果显著，术后并发症发生率低，值得借鉴。
목적：탐토개량술식급전통술식치료포경화포피과장적료효차이급병발증발생정황。방법：2012년1월-2014년1월수치포경급포피과장환자100례，분위관찰조화대조조。대조조실시전통적수술방식(전도법포피배절술화혈관겸법포피배절술)；관찰조실시개량술식(수투법포피배절술화음경근부피부배절술)。분석상술수술방식대수술시간、술중출혈량등영향，기록량조환자술후병발증。결과：관찰조(개량술식)적수술시간장우대조조적수술시간，관찰조술중출혈량저우대조조적술중출혈량，관찰조술후상구동통지속시간저우대조조적술후상구동통지속시간，차이유통계학의의(P＜0.05)。관찰조술후병발증발생솔8.0%，대조조술후병발증발생솔48.0%，관찰조술후병발증발생솔저우대조조，차이유통계학의의(P＜0.05)。결론：개량술식(수투법포피배절술화음경근부피부배절술)치료포경급포피과장시림상효과현저，술후병발증발생솔저，치득차감。
Objective:To investigate the differences in efficacy and complications of modified surgical technique and traditional operation in the treatment of phimosis and redundant prepuce.Methods: 100 patients with phimosis and redundant prepuce were selected from January 2012 to January 2014.They were divided into the observation group and the control group.The control group were given the traditional mode of operation(scissors circumcision and forceps circumcision);the observation group were given the modified operation(sleeve circumcision and the root of the penis skin circumcision).We analyzed the influence of operation time, intraoperative bleeding volume and so on of the above operation modes,and recorded the postoperative complications of the two groups.Results:The operation time of the observation group(modified operation) was longer than the operation time of the control group;the amount of bleeding volume of the observation group patients was lower than that of the control group during operation;the postoperative wound pain duration of the observation group was lower than that of the control group;the differences were statistically significant(P<0.05).The incidence of postoperative complications of the observation group patients was 8% ;the incidence of postoperative complications of the control group was 48.0%;the incidence of complications of the observation group patients was lower than that of the control group,and the difference was statistically significant(P<0.05).Conclusion:The clinical effect of the modified uvulopalatopharyngoplasty(sleeve circumcision and the root of the penis skin circumcision) in the treatment of phimosis and redundant prepuce is significantly,and the incidence of postoperative complications is low,so it is worthy of reference.