CAJ | 학술논문

目的：对一次性包皮环切缝合器与包皮环环切术的疗效进行分析。方法：选择笔者所在医院门诊2014年1月-2015年3月预约包皮过长、包茎患者162例，依据患者自愿原则进行分组治疗，其中80例包皮过长和包茎患者行包皮环(商环)包皮环切术(包皮环组)，另外82例行包皮环切缝合术(缝合器组)，对手术时间、出血量、伤口愈合时间、术后疼痛、术后并发症及术后外观满意度等进行对比分析。结果：缝合器组与包皮环组手术时间、术中出血量方面比较，差异均无统计学意义(P>0.05)，但缝合器组术后疼痛、感染、水肿、伤口愈合时间均显著低于包皮环组(P<0.05)，外观满意度明显高于包皮环组(P<0.05)。结论：一次性包皮环切缝合术操作简单、安全，患者痛苦小，并发症少，患者术后满意度高，值得临床推广使用。
목적：대일차성포피배절봉합기여포피배배절술적료효진행분석。방법：선택필자소재의원문진2014년1월-2015년3월예약포피과장、포경환자162례，의거환자자원원칙진행분조치료，기중80례포피과장화포경환자행포피배(상배)포피배절술(포피배조)，령외82례행포피배절봉합술(봉합기조)，대수술시간、출혈량、상구유합시간、술후동통、술후병발증급술후외관만의도등진행대비분석。결과：봉합기조여포피배조수술시간、술중출혈량방면비교，차이균무통계학의의(P>0.05)，단봉합기조술후동통、감염、수종、상구유합시간균현저저우포피배조(P<0.05)，외관만의도명현고우포피배조(P<0.05)。결론：일차성포피배절봉합술조작간단、안전，환자통고소，병발증소，환자술후만의도고，치득림상추엄사용。
Objective:To explore the clinical curative effects of disposable circumcision suture device and circumcision.Method:162 patients with redundant prepuce and phimosis in our hospital from January 2014 to March 2015 were selected,according to the idea of the patiens , 80 cases were received circumcision(Shang Ring group), and 82 cases were received disposable circumcision suture device(suture device group).The operation time,blood loss,time of wound healing,postoperative pain score, postoperative complications and postoperative satisfaction with penile appearance of the two groups were compared.Result:In suture device group,the operation time and blood loss had no statistical significance compared with Shang Ring group(P>0.05).Otherwise there were significant differences existed in the postoperative pain score,infection, the incidence of hydrophallus,time to wound healing between two groups(P<0.05).Conclusion:The procedure with disposable circumcision suture device is much more simpler,micro-invasive,safer,has less pain and good outlook.So it is worth popularizing.