CAJ | 학술논문

目的：对一次性包皮切割缝合器治疗包皮过长和包茎的临床应用进行分析。方法：应用一次性包皮切割缝合器，对110例包皮过长或包茎的患者给予包皮环切术。结果：全部110例患者顺利完成手术。麻醉起效后，记录手术时间约3~8 min。术中术后均无严重的出血或血肿，仅5例因术中渗血给予可吸收线缝合止血。所有病例术后2 d 后更换敷料，未见有明显渗血、切口裂开或感染情况。术后2~4周随访患者包皮切口均一期愈合，成形满意率100％。与同期传统包皮环切（95例）比较，一次性包皮切割缝合器手术时间、术后水肿、术后疼痛及外观满意度上优势明显。结论：采用一次性包皮切割缝合器进行包皮环切术，手术时间短，患者痛苦少，手术成形满意度高，值得推广。
목적：대일차성포피절할봉합기치료포피과장화포경적림상응용진행분석。방법：응용일차성포피절할봉합기，대110례포피과장혹포경적환자급여포피배절술。결과：전부110례환자순리완성수술。마취기효후，기록수술시간약3~8 min。술중술후균무엄중적출혈혹혈종，부5례인술중삼혈급여가흡수선봉합지혈。소유병례술후2 d 후경환부료，미견유명현삼혈、절구렬개혹감염정황。술후2~4주수방환자포피절구균일기유합，성형만의솔100％。여동기전통포피배절（95례）비교，일차성포피절할봉합기수술시간、술후수종、술후동통급외관만의도상우세명현。결론：채용일차성포피절할봉합기진행포피배절술，수술시간단，환자통고소，수술성형만의도고，치득추엄。
Objective To analysis clinical application of disposable circumcision suture device in the treatment of redundant prepuce and phimosis. Method 110 cases with redundant prepuce or phimosis underwent circumcisions with disposable circumcision anasto-mat. Results All 110 patients were performed operations successfully. Average operation time recorded when anesthesia worked was about 3~ 8 min. There's no massive hemorrhage intraoperatively or postoperatively. Only 5 patients with a small amount of bleeding were cured by suture. There were no incision split、bleeding or Infection when the dreesings were changed 2 days after the operations. Incisions of all the patients healed well,and the appearance satisfaction rate was 100% when revisited 2 ~ 4 weeks later. Disposable circumcision suture device exhibited obvious superiority over traditional circumcision(95 cases)in operation time、postoperative edema、postoperative pain and appear-ance satisfaction rate. Conclusion The disposable circumcision suture device is worth using widely because of short operation time,less pain,minimal invasive,and satisfying treatment effect.