CAJ | 학술논문

目的：对比中国商环包皮环切术与传统包皮环切术治疗成年男性包皮过长的效果。方法包皮过长198例，随机分成商环组100例，传统组98例，分别施行中国商环包皮环切术及传统包皮环切术，观察两组手术时间、术中出血量、愈合时间、疼痛评分（VAS 评分）、术后并发症（渗出、裂开、水肿）、外观满意度、手术对患者工作生活影响等。结果与传统组比较，商环组手术时间短、术中出血量较少、VAS 评分低、术后美观及患者满意度高（P ＜0．05），但术后水肿、渗出、伤口裂开发生率高，并且愈合时间长（P ＜0．05）。结论中国商环包皮环切术效果好，具有操作简单、手术时间短、出血量少、术后美观等优点，但术后水肿、渗出、伤口裂开发生率高，愈合时间长。
목적：대비중국상배포피배절술여전통포피배절술치료성년남성포피과장적효과。방법포피과장198례，수궤분성상배조100례，전통조98례，분별시행중국상배포피배절술급전통포피배절술，관찰량조수술시간、술중출혈량、유합시간、동통평분（VAS 평분）、술후병발증（삼출、렬개、수종）、외관만의도、수술대환자공작생활영향등。결과여전통조비교，상배조수술시간단、술중출혈량교소、VAS 평분저、술후미관급환자만의도고（P ＜0．05），단술후수종、삼출、상구렬개발생솔고，병차유합시간장（P ＜0．05）。결론중국상배포피배절술효과호，구유조작간단、수술시간단、출혈량소、술후미관등우점，단술후수종、삼출、상구렬개발생솔고，유합시간장。
Objective To compare the effects of Chinese Shang Ring circumcision versus traditional circumcision for adult male with redundant prepuce.Methods One hundred and ninety-eight patients with redundant prepuce were randomly divided into two groups. One hundred cases in the Shang Ring group received Chinese Shang Ring circumcision,while 98 cases in the traditional group received tradtioal circumcision.The operation duration,intraoperative blood loss,healing time,visual analogue scale(VAS) score,postoperative complications (exudation,dehiscence and edema),appearance satisfaction and life influence were observed in two groups.Results Compared with traditional group,Shang Ring group achieved shorter operation duration,less intraoperative blood loss,lower VAS score and higher appearance satisfaction rate(P <0.05) as well as longer healing time and higher incidences of postoperative edema,exudation and dehiscence(P <0.05). Conclusion Chinese Shang Ring circumcision has favorable effects with the advantages of simple operation,shorter operation duration, less blood loss and better postoperative appearance.However,it presents the high incidences of postoperative edema,exudation and wound dehiscence as well as long healing time.