CAJ | 학술논문

目的：比较一次性包皮吻合器与传统包皮环切术在小儿包皮手术中疗效对比分析。方法分析2014年3—9月采用一次性包皮吻合器与传统包皮环切术治疗的174例小儿包皮过长或包茎患者的临床资料。年龄3岁2个月～14岁，平均7．8岁。其中151例采用一次性包皮吻合器行包皮环切术，23例行传统包皮环切术。结果所有患者均顺利完成手术，吻合器组患者切缘整齐，美观。吻合器组在手术时间、术中出血量及包皮水肿消退时间方面均优于传统的包皮环切术，相比差异有统计学意义（P＜0．05）。术后3个月电话随访患者对包皮外观满意度，吻合器组随访到147例，所有患儿家属对外观均满意；包皮环切组随访到18例，1例患者对术后外观不满意，为感觉包皮两侧不对称。结论一次性包皮吻合器行包皮环切术临床疗效满意，手术简单，用时短，可做临床推广。
목적：비교일차성포피문합기여전통포피배절술재소인포피수술중료효대비분석。방법분석2014년3—9월채용일차성포피문합기여전통포피배절술치료적174례소인포피과장혹포경환자적림상자료。년령3세2개월～14세，평균7．8세。기중151례채용일차성포피문합기행포피배절술，23례행전통포피배절술。결과소유환자균순리완성수술，문합기조환자절연정제，미관。문합기조재수술시간、술중출혈량급포피수종소퇴시간방면균우우전통적포피배절술，상비차이유통계학의의（P＜0．05）。술후3개월전화수방환자대포피외관만의도，문합기조수방도147례，소유환인가속대외관균만의；포피배절조수방도18례，1례환자대술후외관불만의，위감각포피량측불대칭。결론일차성포피문합기행포피배절술림상료효만의，수술간단，용시단，가주림상추엄。
Objective To compare the clinical efficiency of anastomoses device for peritomy with traditional circumcision in children .Methods Clinical data of 174 children with redundant prepuce or phimosis from March 2014 to September 2014 who underwent anastomoses device for peritomy ( 151 cases ) or traditional circumcision(23 cases) were retrospectively reviewed .The mean age of the children was 7.8 years ( range from 3 years 2 months to 14 years).Results All operations were finished successfully .The cutting-edge of peritomy anastomoses device group was much more blazonry . The peritomy anastomoses device group showed great advantages over the traditional circumcision group in operation time , blood loss and prepuce swelling subsiding (P<0.05).We followed up the satisfaction of the appearance 3 months after the operation 147 children were followed in the peritomy anastomoses device group , all parents were satisfied with the appearance .18 patients were followed in the traditional circumcision group , only one parent was not satisfied .Conclusions Peritomy anastomoses device for circumcision is a convenient and safe technique , which can be applied in clinic .