商环行包皮环切术临床体会.docVIP

商环行包皮环切术临床体会 　　摘要：目的与传统包皮环切术（CC）相比，一次性包皮环切缝合器（DCSD）在包皮环切术中的疗效观察。方法选择我院2013年7月~2014年2月的82例患者，根据患者的意愿，分别用一次性包皮环切缝合器和传统的方法行包皮环切术。一次性包皮环切缝合器 40例，传统方法 42例。分别在手术时间，术中失血量，伤口愈合时间，术后并发症及患者对术后阴茎外观的满意度方面进行比较观察。结果与传统的包皮环切术相比，一次性包皮环切缝合器在手术持续时间[DCSD 组(6.8±1.8) min vs. CC组 (25.4±4.5) min]，术中出血量 [DCSD 组(1.2±0.5) mL vs. CC组 (9.5±1.5) mL] 方面占有明显优势；在伤口愈合时间 [DCSD 组(14.9±1.9) d vs. CC组 (15.4±2.1)d] 和术后并发症(6.8% vs7.1%)方面无明显差异（P0.05）；一次性包皮环切缝合器术后患者的满意率高（97.7% vs.78.6%）。结论与传统的包皮环切术相比，一次性包皮环切缝合器是一种创新，手术简单，安全，手术时间短，术中出血量少，并发症少，切割与缝合一次完成，术后伤口整齐，外形美观。即使患者感到满意，又提高了医生的工作效率。值得重视和推广。 　　关键词：一次性包皮环切缝合器；包皮环切术；临床疗效观察 　　Clinical Experience of Disposable Circumcision Suture Device on Circumcision 　　SONG Lin,LI Ya-jun 　　(Department of Urology,The First Hospital of Yulin,Yulin 718000,Shaanxi,China) 　　Abstract：ObjectiveTo compare the advantage and disadvantage of disposable circumcision suture device and conventional circumcision. MethodsFrom July 2013 to February 2014, according to the wishes of patients, people who were receiving circumcision in our hospital were divided into two groups: disposable circumcision suture device(DCSD group, n=44) and conventional circumcision(CC group, n=56). The operation time, blood loss, wound healing time, rate of postoperative complications and postoperative satisfaction with penile appearance were compared between the two groups. ResultsDCSD group showed markly shorter operation time[(6.8±1.8) min vs. (25.4±4.5) min], less blood loss[(1.2±0.5) ml vs.(9.5±1.5) ml], higher rate of postoperative satisfaction with penile appearance（97.7% vs.78.6%）, similar to CC group in healing time[(14.9±1.9) d vs. (15.4±2.1) d]. No significant difference existed in the rate of postoperative complications among the two groups (6.8% vs7.1%) (P0.05). ConclusionThe DCSD is a innovation on circumcision. circumcision and suture nearly complete in the same time. The DCSD is a good approach (simple and safe) for circumcision with short operation time, few blood loss, and satisfying postoperati