CAJ | 학술논문

目的：探讨一次性包皮环切缝合器(DCSD)的操作方法，明确手术适应证，减少手术并发症。方法：63例患者行DCSD手术，观察包皮完整切除率、出血、缝合钉脱落及常见并发症的发生率。结果：术后出血来院重新止血缝合处理1例(1.6%)；切割器未能完全离断包皮2例(3.2%)；缝合钉缝合不牢固，切缘开裂需要缝合5例(7.9%)；切缘有明显出血，需要加针缝合17例(27.0%)；术后阴茎头及系带处出现青黑色瘀斑52例(82.5%)；迟发性包皮下血肿8例(12.7%)；缝合钉无法全部自动脱落12例(19.0%)。结论：DCSD手术并发症比较多，严格的患者筛选及熟练的手术技巧可提高手术成功率，减少并发症。
목적：탐토일차성포피배절봉합기(DCSD)적조작방법，명학수술괄응증，감소수술병발증。방법：63례환자행DCSD수술，관찰포피완정절제솔、출혈、봉합정탈락급상견병발증적발생솔。결과：술후출혈래원중신지혈봉합처리1례(1.6%)；절할기미능완전리단포피2례(3.2%)；봉합정봉합불뢰고，절연개렬수요봉합5례(7.9%)；절연유명현출혈，수요가침봉합17례(27.0%)；술후음경두급계대처출현청흑색어반52례(82.5%)；지발성포피하혈종8례(12.7%)；봉합정무법전부자동탈락12례(19.0%)。결론：DCSD수술병발증비교다，엄격적환자사선급숙련적수술기교가제고수술성공솔，감소병발증。
Objective:To explore the operation method of disposable circumcision suture device(DCSD) and definite surgery indications for reducing postoperative complications.Methods:63 patients were given DCSD.The foreskin complete resection rate, the incidence rate of bleeding,suture nail falls off and common complications were observed.Results:1 case(1.6% ) was postoperative bleeding to the hospital to hemostatic suture in the treatment.The cutter failed to completely cut off the foreskin in 2 cases(3.2% ).The suturing nail suture was not solid,and cutting edge cracking needed to suture in 5 cases(7.9% ).Margin had obvious bleeding,and needed to add needle suture in 17 cases(27%).Postoperative glans and lace-up had lividity ecchymosis in 52 cases(82.5%).8 cases(12.7%) were late-onset hematoma under the foreskin.The suturing nails had not all off automatically in 12 cases(19%).Conclusion:The complications of DCSD are more.The strict patient selection and skilled surgical technique can improve the success rate of surgery and reduce complications.